| NPI | 1669719357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH L WINFREY Owner 504-232-4184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 024671) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |