| NPI | 1114607611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP CHAPA President/Owner 337-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2026-01-06 |