| NPI | 1831306992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIRATH CHAU Chief Medical Officer 337-860-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-02-19 |