| NPI | 1033157441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE ROMERO Revenue Team Lead 337-408-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-01-21 |