| NPI | 1922694710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE CUMMINGS CFO 985-801-6247 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2025-10-23 |