| NPI | 1427098201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CHARLES FALGOUST Medical Director 337-477-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA AS00010009) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-02-28 |