| NPI | 1023748720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN CALVIT CEO 337-254-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-01-30 |