| NPI | 1376542506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN B FILIPINAS Administrator 337-684-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-07-21 |