NPI | 1083935415 |
---|---|
Entity Type | Organization |
Authorized Contact | FLYNN A TAYLOR Medical Physician 337-463-9890 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 014367) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2010-06-21 |