| NPI | 1467776088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN M JOHNSON Member/Authorized Official 504-469-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |