| NPI | 1013419779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BEAULLIEU Adminstrator 337-504-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 304171) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |