| NPI | 1558475210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA TORRES Supervisor 504-832-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: LA 105) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |