NPI | 1215810189 |
---|---|
Entity Type | Organization |
Authorized Contact | KANDACE MATHERNE Credentialing Specialist 504-527-9953 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2025-07-29 |
Last Update Date | 2025-07-29 |