| NPI | 1003895152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M ALEXANDER President 985-868-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 6) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-08-22 |