| NPI | 1215167283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL A TATE Owner / Operator 337-948-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 201217) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |