| Texas Excel Care | |
|
4338 S Jeffrey Dr # 102 Baton Rouge LA 70816-4196 | |
| (225) 361-0219 | |
| (225) 361-0483 |
| Full Name | Texas Excel Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4338 S Jeffrey Dr # 102, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Dickson E Idusuyi (OWNET) |
| Authorized Official Contact | 2253610219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Excel Care 4348 S Jeffrey Dr Ste 102 Baton Rouge LA 70816-4196 Ph: (225) 361-0219 | Texas Excel Care 4338 S Jeffrey Dr # 102 Baton Rouge LA 70816-4196 Ph: (225) 361-0219 |
| NPI Number | 1205228335 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205228335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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