| NPI | 1336821495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HEINRICH President/Owner 337-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2026-04-08 |