| NPI | 1588678494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS C STEVENS Partner 985-542-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 207Q00000X Family Medicine | |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-08-23 |