| NPI | 1801087184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENITA C MOSES Business Office Director 337-462-7181 |
| 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 | 2021-12-07 |