| NPI | 1932848231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARVIS KEON HARVEY Owner 504-582-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |