| NPI | 1053352401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA RICHARD Assistant Administrator 337-312-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207Y00000X Otolaryngology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 213ES0131X Podiatrist, Foot Surgery | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2086S0105X Surgery, Surgery of the Hand | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-01-16 |