| NPI | 1184605792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRA BROWN MOORE Administrator 337-439-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: LA 099) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-06-28 |