| NPI | 1265756266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOUIS WATKINS Owner/Physician 985-851-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 023270) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-06-16 |