| NPI | 1952305427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARICE HEBERT Owner 337-550-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 13544R) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 14934R) |
| 208000000X Pediatrics (Licence: LA 13543R) | |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2015-08-31 |