| NPI | 1285140715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA BROOKS Managing Member 337-739-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP128873) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |