| NPI | 1720278138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSAO TE WEI Physician 504-347-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: LA BW4947454) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |