| NPI | 1780075200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F SLOVACEK Office Administrator 337-261-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD206213) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.016206) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |