| NPI | 1760658256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON WATKINS Medical Director 504-454-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 165) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2024-06-18 |