| NPI | 1437553617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL JEANSONNE Physician 985-630-9618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 025708) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2017-05-01 |