| NPI | 1568666766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY STEVEN MARTIN Manager 504-779-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |