| NPI | 1740504042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH MOONEY Owner 985-345-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA MD.019931) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-08-03 |