NPI | 1073505616 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD L ARCENEAUX Manager 985-447-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 107) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2022-11-22 |