| NPI | 1780879015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE EDGARDO MERCED President 337-769-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 021815) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-06-26 |