| NPI | 1407411796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISHA C FALK VP Of Contracting 337-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LC0200X Nurse Practitioner, Critical Care Medicine | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2022-03-23 |