| NPI | 1245364819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH Y. BORDELON President 337-948-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 015719) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA 024044) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: LA 012611) | |
| 363LF0000X Nurse Practitioner Family (Licence: LA AP03450) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2015-07-13 |