| NPI | 1285658310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Director Of Contracting 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-08-21 |