| NPI | 1417094244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH B WHITE Owner 985-871-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 09381R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 09381R) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-09-24 |