| NPI | 1437370335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DECOURCY WALKER CEO Owner 985-853-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 14187R) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 40568-4796) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2011-11-03 |