The Psychiatric Medicine Institute Of La Llc

NPI 1023047776 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1023047776
Enumeration Date 07/02/2006
Last Updated 03/31/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES HOUMA DIXON CHARLES
Position OWNER
Phone (337) 264-1991
Fax (337) 264-1993
Practice Location
850 KALISTE SALOOM RD
STE 115
LAFAYETTE LA, 70508-4230, US
Phone (337) 264-1991
Fax (337) 264-1993
Business Location
850 KALISTE SALOOM RD
STE 115
LAFAYETTE LA, 70508-4230, US
Phone (337) 264-1991
Fax (337) 264-1993
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
Remove 1023047776 NPI Number
 

According to our database, The Psychiatric Medicine Institute Of La Llc NPI is 1023047776, taxonomy code is 2084P0800X The Psychiatric Medicine Institute Of La Llc physically located at 850 Kaliste Saloom Rd, Lafayette LA, 70508-4230. NPI Number 1033115704 has the healthcare provider type.

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1023047776 NPI number is provided on an as is basis without warranty of any kind. 1023047776 is maintained by the National Plan & Provider Enumeration System. The contents of The Psychiatric Medicine Institute Of La Llc are for informational purposes only.