| NPI | 1972657674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P GAVIN Physician Owner 225-755-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: LA 023278) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-10-03 |