| NPI | 1912058215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN TAN ABADCO Owner 337-269-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: LA 11594R) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-10-16 |