| NPI | 1497286702 | 
|---|---|
| Doing Business As | MPDET | 
| Entity Type | Organization | 
| Authorized Contact | JANNESSA FOUCHA Owner 504-577-4432 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 150849) | 
| Enumeration Date | 2017-03-27 | 
| Last Update Date | 2017-03-27 |