| NPI | 1740982115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA RICHARD Chief Operating Officer 337-312-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-05-17 |