| NPI | 1790038842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH D BROACH CEO/President 337-990-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2014-04-30 |