| NPI | 1811001548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA TORRES Supervisor 504-832-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 114) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-03-27 |