| NPI | 1770932287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA INMAN Md 985-867-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: LA MD.207725) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-06-20 |