| NPI | 1982056545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISHA C FALK Vice President 337-609-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2026-05-01 |