| NPI | 1114223898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. RUDD Physician 337-463-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 15081) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |