| NPI | 1104858513 |
|---|---|
| Doing Business As | SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM G PORCHE Business Office Manager 337-233-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 2203783255) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-12-08 |