| NPI | 1053492322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY WAYNE WEBSTER Practice Director 225-926-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |