| NPI | 1689871196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE GUILLOT BROUSSARD Owner 337-356-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 200235) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-10-18 |