| NPI | 1073569117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA PETERS FISHER CEO Administrator 504-940-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 09539R) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |