| NPI | 1952266140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL GERARD HENDRICK Co Owner 504-914-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |