| NPI | 1174900716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY RANDAL SARVER Managing Partner 337-319-9316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-06 |