| NPI | 1952973356 |
|---|---|
| Doing Business As | WOODLAND PHYSICIANS GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL FORMAN CEO 504-975-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2022-01-28 |