NPI | 1982727558 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLEN F MITCHELL Owner 504-655-2629 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 11180) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |