| NPI | 1346874732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMIN ESCALANTE Nurse Practitioner 985-402-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-05-05 |