| NPI | 1619234176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE JOSEPH BARRIOS Director 337-261-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |