| NPI | 1760682272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL E HEARD Physician 337-234-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: LA BH2497293) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-06-16 |