| NPI | 1770075434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR VALDETERO Managing Member 337-210-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 112572) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-02-14 |