| NPI | 1487956538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINA S. BAKER Physician/Medical Director 337-364-2822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 023492) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |