NPI | 1063698462 |
---|---|
Entity Type | Organization |
Authorized Contact | KASY L MIRE Office Manager 337-266-9985 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA BC201667) |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2008-01-15 |
Last Update Date | 2023-02-17 |