| NPI | 1457127938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GUIDRY Credentialing Coordinator 337-889-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |