| NPI | 1528123510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D STALLMANN Billing Supervisor 985-690-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: LA 30283) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-04-02 |