| NPI | 1417966193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI A GWINN Credentialing Coordinator 504-349-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery (Licence: LA 06267R) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: LA 019052) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-03-03 |