| NPI | 1912046277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN W HALES Owner 504-897-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 014456) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-17 |