| NPI | 1396156790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL GERARD HENDRICK Founder/Owner 504-914-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-12-09 |