| NPI | 1366108797 |
|---|---|
| Doing Business As | MY DOC @ HOME |
| Entity Type | Organization |
| Authorized Contact | DAVID J MARTIN CEO 504-491-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |