Dr Elenita P Santos-mata, MD | |
4851 W Park Dr, Suite A, Zachary, LA 70791-4010 | |
(225) 658-7636 | |
(225) 658-7634 |
Full Name | Dr Elenita P Santos-mata |
---|---|
Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 4851 W Park Dr, Zachary, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053454108 | NPI | - | NPPES |
1372617 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 07399R (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Elenita P Santos-mata, MD 4851 W Park Dr, Suite A, Zachary, LA 70791-4010 Ph: (225) 658-7636 | Dr Elenita P Santos-mata, MD 4851 W Park Dr, Suite A, Zachary, LA 70791-4010 Ph: (225) 658-7636 |
Amanda Lavigne Talbot, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4242 Highway 19 Ste C, Zachary, LA 70791 Phone: 225-654-6140 Fax: 225-654-6122 | |
Amrullah Khelghati, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9305 Main St, Suite D, Zachary, LA 70791 Phone: 225-654-0300 Fax: 225-654-0102 | |
Taira Lynn Woodroffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4242 Highway 19, Building 3 Suite A, Zachary, LA 70791 Phone: 225-658-7860 Fax: 225-658-7862 |