Philip A Landry Md A Professional Medical Corporation | |
216 Robin Ln Opelousas LA 70570-9149 | |
(337) 942-5815 | |
(337) 942-8004 |
Full Name | Philip A Landry Md A Professional Medical Corporation |
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Speciality | Psychiatry & Neurology |
Location | 216 Robin Ln, Opelousas, Louisiana |
Authorized Official Name and Position | Philip A, Landry (OWNER) |
Authorized Official Contact | 3379425815 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Philip A Landry Md A Professional Medical Corporation Po Box 880 Opelousas LA 70571-0880 Ph: (337) 942-5815 | Philip A Landry Md A Professional Medical Corporation 216 Robin Ln Opelousas LA 70570-9149 Ph: (337) 942-5815 |
NPI Number | 1245553023 |
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Provider Enumeration Date | 03/08/2010 |
Last Update Date | 09/15/2022 |
Certification Date | 09/15/2022 |
Medicare PECOS PAC ID | 1951446517 |
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Medicare Enrollment ID | O20100308000016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245553023 | NPI | - | NPPES |
1178756 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 012300 (Louisiana) | Primary |
Provider Name | Philip A Landry |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639218738 PECOS PAC ID: 1456314582 Enrollment ID: I20041109000838 |
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