| NPI | 1033368857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K BUTLER Acting CEO 225-922-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 207W00000X Ophthalmology | |
| 208800000X Urology | |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |