| NPI | 1922694710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI FREY Director Revenue Cycle 985-801-6258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207X00000X Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-06-01 |