| NPI | 1114176971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS KATA Manager 504-952-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: LA MD200936) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |