| NPI | 1699789529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN P BARRILLEAUX Owner 337-439-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 017896) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |