| NPI | 1184634040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA CLAVIN Authorized Agent 985-781-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 90577) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-02-24 |