| NPI | 1588014864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY A MIRE CEO 337-232-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: LA 025427) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |