| NPI | 1417396797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WILLIAMS Owner 985-902-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 025637) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |