| NPI | 1871593269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SON V NGUYEN President 337-364-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 118) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-07-11 |