| NPI | 1922815240 |
|---|---|
| Doing Business As | LOUISIANA STAT CARE PCP |
| Entity Type | Organization |
| Authorized Contact | NORMAN GLEN NEAL Md 504-909-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |