NPI | 1295757326 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD T. ERWIN CEO 504-529-5558 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 152W00000X Optometrist |
207R00000X Internal Medicine | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2022-11-17 |