| NPI | 1760504120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MIREILLE DAVIS Physician 504-712-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 14461R) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2008-05-09 |