NPI | 1477888493 |
---|---|
Former Legal Business Name | CARLOS A IRIZARRY MD |
Entity Type | Organization |
Authorized Contact | CARLOS A IRIZARRY Physician 318-377-8401 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 06856R) |
Enumeration Date | 2009-10-08 |
Last Update Date | 2010-11-22 |