| NPI | 1952106890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCBRIDE Owner 337-298-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |