| NPI | 1114043759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI A ORTEGO Office Manager 337-216-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 10636R) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |