| NPI | 1821156175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R MOTES Office Manager 985-690-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 05273R) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: LA 05273R) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |