Pediatric Clinic Westbank

NPI 1003904236 - Pediatrics - 208000000X

NPI Details
NPI 1003904236
Enumeration Date 10/11/2006
Last Updated 05/20/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TAMMY TAMMY
Position OFFICE MANAGER
Phone (504) 392-9298
Fax (504) 392-7047
Practice Location
151 MEADOWCREST ST STE F
GRETNA LA, 70056-5256, US
Phone (504) 392-9298
Fax (504) 392-7047
Business Location
151 MEADOWCREST ST STE F
GRETNA LA, 70056-5256, US
Phone (504) 392-9298
Fax (504) 392-7047
Toxanomy
Taxonomy Code 208000000X
License State Louisiana
License Number 018557
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According to our database, Pediatric Clinic Westbank NPI is 1003904236, taxonomy code is 208000000X and license number is 018557, license state is located at Louisiana. Pediatric Clinic Westbank physically located at 151 Meadowcrest St Ste F, Gretna LA, 70056-5256. NPI Number 1033115704 has the healthcare provider type.

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1003904236 NPI number is provided on an as is basis without warranty of any kind. 1003904236 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Clinic Westbank are for informational purposes only.