| NPI | 1417833203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS A BATISTE Member/Manager 504-782-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Additional Taxonomies | 183500000X Pharmacist |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-25 |