| NPI | 1447394499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA DE AGUIAR Owner 504-455-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 201033) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 15344R) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |