| NPI | 1336463660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY J HUBBLE Nurse Practitioner 985-234-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05824) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |