| NPI | 1881887164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ELFERT MCCAIN Owner/Physician 985-868-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 23154) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2015-05-18 |