NPI | 1568137222 |
---|---|
Entity Type | Organization |
Authorized Contact | DARVIS KEON HARVEY Owner/Doo 504-582-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
207Q00000X Family Medicine | |
Enumeration Date | 2021-08-13 |
Last Update Date | 2021-08-13 |