| NPI | 1144283292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J CLOWERS VP 337-470-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: LA 121) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-06-12 |