| NPI | 1720755895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E MARTINEZ Consultant 504-417-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
| 163WG0000X Registered Nurse, General Practice | |
| 207Q00000X Family Medicine | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-01-11 |