| NPI | 1275513798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DEVILLE CEO 337-769-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology | |
| 207L00000X Anesthesiology | |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RN0300X Internal Medicine, Nephrology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |