| NPI | 1285650879 |
|---|---|
| Doing Business As | NEUROLOGICAL SURGERY & SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | LOUIS J PROVENZA Md 985-646-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 015313) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2013-04-01 |