| NPI | 1255971180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL IKEMIRE Member 504-717-3050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2021-10-20 |