NPI | 1578348397 |
---|---|
Entity Type | Organization |
Authorized Contact | TYLER STOUT Manager 337-315-7927 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207R00000X Internal Medicine | |
207RI0200X Internal Medicine, Infectious Disease | |
208200000X Plastic Surgery | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
2086S0127X Surgery, Trauma Surgery | |
2086S0129X | |
Enumeration Date | 2023-08-29 |
Last Update Date | 2025-02-11 |