| NPI | 1639479975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA J TANDRON Physician 985-643-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |