| Abraham Medical Clinic | |
|
261 Hwy 132 Mangham LA 71259-0219 | |
| (318) 248-2807 | |
| (318) 248-2967 |
| Full Name | Abraham Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 261 Hwy 132, Mangham, Louisiana |
| Authorized Official Name and Position | Mike Breard (VICE PRESIDENT) |
| Authorized Official Contact | 3183610900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abraham Medical Clinic 130 Desiard St Suite 355 Monroe LA 71201-7319 Ph: (318) 807-7875 | Abraham Medical Clinic 261 Hwy 132 Mangham LA 71259-0219 Ph: (318) 248-2807 |
| NPI Number | 1902850035 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 12/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902850035 | NPI | - | NPPES |
| 1444162 | Medicaid | LA | |
| 010064540 | Other | LA | RAILROAD MEDICARE |
| 439966080C | Other | LA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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The Medical Office Of Mangham Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967 | |
The Medical Office Of Mangham Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967 |