| NPI | 1972384139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISHA FALK VP Of Contracting 337-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2024-01-03 |