NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1952878332 | DARK | DEREK | Q |   | 1340 W TUNNEL BLVD STE 230 | HOUMA | LA | 703602811 |
1881166007 | DICKERSON | DOMONIQUE |   |   | 1418 TIGER DR | THIBODAUX | LA | 703014337 |
1982175477 | VERDIN | LEAH |   |   | 1340 W TUNNEL BLVD STE 230 | HOUMA | LA | 703602811 |