NPI | 1154403350 |
---|---|
Entity Type | Organization |
Authorized Contact | ARNOLD E FELDMAN Chief Executive Officer 225-201-0950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MS 25C0001013) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2020-08-22 |