| NPI | 1093781601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E ALVAREZ Medical Director 337-365-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 130) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |