| NPI | 1194132415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD SVP Of Admin Services 337-408-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 134888) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2026-02-12 |