| NPI | 1346493525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS F MATTA President 985-809-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: LA MD.019575) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2019-07-26 |