| NPI | 1780573329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Director Of Contracting 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 363LC0200X Nurse Practitioner Critical Care Medicine | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |