| NPI | 1801207436 |
|---|---|
| Other Name | VEIN CENTER OF SOUTHWEST LOUISIANA |
| 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 | 2014-05-16 |
| Last Update Date | 2014-05-16 |