NPI | 1255128484 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM PORCHE President 337-296-7835 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-04-22 |
Last Update Date | 2025-04-22 |