| NPI | 1184482895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVIS Managing Partner 337-315-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2026-02-13 |