| NPI | 1992099071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEVIES WAYNE NEWMAN Owner/Sole Member 985-892-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD025506) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA md025506) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2013-10-23 |