NPI | 1184664534 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY M EVANS President / Medical Director 504-284-3866 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 012410) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2012-09-12 |