| NPI | 1306156138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIO FRAGOSO CEO 504-896-9511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 103T00000X Psychologist |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics Adolescent Medicine | |
| 2080C0008X Pediatrics Child Abuse Pediatrics | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2025-03-06 |