| NPI | 1457531881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE LYNN BREAUX Physician 337-491-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 261Q00000X Clinic/Center (Licence: LA 0700011300) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2025-01-09 |