| NPI | 1881874279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L BUI Member 504-362-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 1386-522T) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2014-01-22 |