Mr Calvin Dale Vidrine, CRA RJ RN | |
174 Grant Rd, Opelousas, LA 70570-0720 | |
(337) 594-9637 | |
(337) 948-4556 |
Full Name | Mr Calvin Dale Vidrine |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 174 Grant Rd, Opelousas, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639122195 | NPI | - | NPPES |
1664669 | Medicaid | LA | |
2000777340 | Other | LA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 10041005 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Calvin Dale Vidrine, CRA RJ RN Po Box 1939, Opelousas, LA 70571-1939 Ph: (337) 942-1915 | Mr Calvin Dale Vidrine, CRA RJ RN 174 Grant Rd, Opelousas, LA 70570-0720 Ph: (337) 594-9637 |
Dr. Gerard A. Ballanco Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6830 | |
Dr. Paula M. Sharkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 | |
Carol Pratt Becker, MD Radiology Medicare: Medicare Enrolled Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 | |
Dr. Richard G. Lastrapes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 | |
Dr. Edward Daniel Willett, Radiology Medicare: Medicare Enrolled Practice Location: 539 East Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 |