| NPI | 1932913217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HEINRICH Owner/President 337-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-03-19 |