| NPI | 1336534973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SMITH Nurse Practitioner 504-914-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX AP123540) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |