NPI | 1992580252 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN GUIDRY Medical Director 504-218-4936 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-11-20 |