| NPI | 1396088464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA D VARNADO VP Business Services 985-624-7401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 208800000X Urology | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-04-24 |