| NPI | 1790052330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY F MARONGE Administrator/ Member 504-486-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD011388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD011416) |
| 207R00000X Internal Medicine (Licence: LA MD014385) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |