| NPI | 1073627881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA Z KELLY Administrator 985-542-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 207RC0000X) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |