| NPI | 1336115997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GROVER PHIPPS Managing Partner 337-289-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04512) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: LA 022833) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-08-22 |