| NPI | 1598885832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI R VIDRINE Revenue Cycle Manager 337-457-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-12-30 |