| NPI | 1457474025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN F MITCHELL Owner 504-655-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 11181) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |