| NPI | 1447761226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HEBERT Md 337-235-8007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |