| NPI | 1114481769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISHA C FALK VP Of Contracting 337-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2022-03-23 |