| NPI | 1124244421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BOUDREAUX LONGSTREET Office Manager 504-486-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: LA 014427) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |