| NPI | 1508227604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN TRAHAN PRATT Md/Owner 337-484-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA MD201624) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2018-09-11 |