| NPI | 1336381458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY LYNN BROUDREAUX President 318-734-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: LA 201161) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |