| 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 |