Bastrop Pediatric Day Health Center, Llc

NPI 1033552385 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1033552385
Enumeration Date 04/16/2013
Last Updated 04/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SUZANNE SUZANNE
Position ADMINISTRATOR/DON
Phone (318) 281-8009
Fax (318) 281-2937
Practice Location
205 HALL ST
BASTROP LA, 71220-4602, US
Phone (318) 281-8009
Fax (318) 281-2937
Business Location
205 HALL ST
BASTROP LA, 71220-4602, US
Phone (318) 281-8009
Fax (318) 281-2937
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Bastrop Pediatric Day Health Center, Llc NPI is 1033552385, taxonomy code is 302R00000X Bastrop Pediatric Day Health Center, Llc physically located at 205 Hall St, Bastrop LA, 71220-4602. NPI Number 1033115704 has the healthcare provider type.

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1033552385 NPI number is provided on an as is basis without warranty of any kind. 1033552385 is maintained by the National Plan & Provider Enumeration System. The contents of Bastrop Pediatric Day Health Center, Llc are for informational purposes only.