| NPI | 1033494943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LIMBOCKER CFO 225-765-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2015-10-08 |