| NPI | 1306933965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LYNN WALKER Office Managert 985-893-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 015828) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |