NPI | 1891467874 |
---|---|
Doing Business As | O'BRIEN HOUSE CLINIC |
Entity Type | Organization |
Authorized Contact | MARY L TALBERT Credentialing Manager 337-855-9023 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-09-29 |
Last Update Date | 2021-09-29 |