| NPI | 1992154827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SCHWAB Owner 225-767-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: LA 207RS0012X) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |