| NPI | 1801087184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRED VEILLON CFO 337-462-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2025-06-07 |