| NPI | 1134180011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L BOZEMAN Office Manager 504-454-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA M.D.05646R) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2020-08-22 |