| NPI | 1891507554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIE SPANO Billing Director 504-635-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |