| Edwin Urbi A Medical Limited Liabilty Company | |
|
5920 Coliseum Blvd Alexandria LA 71303-3714 | |
| (318) 443-9339 | |
| (318) 443-9116 |
| Full Name | Edwin Urbi A Medical Limited Liabilty Company |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5920 Coliseum Blvd, Alexandria, Louisiana |
| Authorized Official Name and Position | Tiffany A. Stephens (CREDENTIALING/DELEGATE) |
| Authorized Official Contact | 3184439339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Urbi A Medical Limited Liabilty Company 6221 Grand Oak Dr Alexandria LA 71301-2334 Ph: () - | Edwin Urbi A Medical Limited Liabilty Company 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 443-9339 |
| NPI Number | 1376175471 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Medicare PECOS PAC ID | 3678991809 |
|---|---|
| Medicare Enrollment ID | O20200921000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376175471 | NPI | - | NPPES |
| 1539368 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Edwin S Urbi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649264755 PECOS PAC ID: 7911956263 Enrollment ID: I20050113000827 |
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