| NPI | 1750541447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA P DOBSON VP, Clinical Services 985-690-7502 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 1043996) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NC 1043996) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2011-12-08 |