| NPI | 1770516395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINDY DEAN-COLOMB Medical Director 225-328-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD200756) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |