NPI | 1487852026 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HANDLEY C.E.O. 337-233-9288 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: LA 388) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: LA 173) |
261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 0117AD6693-03) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 0237AD669302) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 0146AD6693-01) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: LA 389) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: LA 396) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: LA 396A) | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: LA 396B) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 0416AD669301) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: LA 419) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 1329AD669301) | |
Enumeration Date | 2007-07-05 |
Last Update Date | 2008-08-12 |