| NPI | 1861474702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLINDA BREAUX GAUTHREAUX Office Manager 504-456-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA MD.10414R) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2024-11-11 |