| 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 |