| NPI | 1790119121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J WOESSNER Medical Doctor 504-525-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 012046) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |