| NPI | 1710286794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NELSON OUBRE M.D.,/ Owner 985-419-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 22330) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 203749) |
| 174400000X Specialist (Licence: LA RN083847-AP04197) | |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2018-01-10 |