NPI | 1457403503 |
---|---|
Doing Business As | ST. JAMES PRIMARY CARE, LAPLACE |
Entity Type | Organization |
Authorized Contact | ANU P VELLANKI Md 225-869-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 114) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2007-01-17 |
Last Update Date | 2023-05-18 |