| NPI | 1104274323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX PHILLIP SCHULTZ Physician Assistant 504-239-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 7967) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 7967) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-31 |