| Robert Ancira, M.d., A Medical Corporation | |
|
1325 Amelia St New Orleans LA 70115-3625 | |
| (504) 891-8503 | |
| (504) 891-9428 |
| Full Name | Robert Ancira, M.d., A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1325 Amelia St, New Orleans, Louisiana |
| Authorized Official Name and Position | Robert Ancira (OWNER) |
| Authorized Official Contact | 5048918503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Ancira, M.d., A Medical Corporation 1325 Amelia St New Orleans LA 70115-3625 Ph: (504) 891-8503 | Robert Ancira, M.d., A Medical Corporation 1325 Amelia St New Orleans LA 70115-3625 Ph: (504) 891-8503 |
| NPI Number | 1598036683 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 03/01/2012 |
| Medicare PECOS PAC ID | 2466532387 |
|---|---|
| Medicare Enrollment ID | O20120221000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598036683 | NPI | - | NPPES |
| 1164739 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 012137 (Louisiana) | Primary |
| Provider Name | Robert Ancira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063428092 PECOS PAC ID: 9739179441 Enrollment ID: I20120221000794 |
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