| NPI | 1942453329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER EDWARDS Owner 504-324-5617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 1364) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |