| NPI | 1508342239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE TROXCLAIR Accounting Manager 225-218-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LH0002X Anesthesiology, Hospice and Palliative Medicine |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2025-07-29 |