| NPI | 1316991722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR PAUL BREAUX Owner/Managing Member 337-237-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-13 |