NPI | 1114613171 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID GUZAN Managing Member 504-323-5758 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-04-13 |
Last Update Date | 2023-04-13 |