| NPI | 1629665039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI LYN DUGAS Credentialing Coordinator 337-312-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |