| NPI | 1316292980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANDRE CENAC Physician 337-364-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA MD.017658) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA Md.017658) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |