| NPI | 1225488562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T JONES Medical Director 504-520-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD203855) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: LA MD203855) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |