| NPI | 1972484780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISHA C FALK Vice President 337-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-10-23 |