| NPI | 1831402924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M GUILLOT Owner 985-327-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: LA 203549) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: LA 203549) |
| 207YS0012X Otolaryngology, Sleep Medicine (Licence: LA 203549) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: LA 203549) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2025-10-10 |