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 |