| NPI | 1003842527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN PARR President 985-809-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: LA 136) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-03-03 |