| NPI | 1780728642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L VERAS POLA Owner 504-464-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 15344R) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 201033) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |