NPI | 1770124133 |
---|---|
Doing Business As | GEAUX MIND |
Entity Type | Organization |
Authorized Contact | COREY ANN CONN Member, Manager, & Medical Director 985-345-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery |
Enumeration Date | 2019-10-07 |
Last Update Date | 2019-10-07 |