| NPI | 1871881698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G STOUT Owner 504-615-8742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |