Ascension Medical Clinic, Llc | |
214 S Burnside Ave Ste A Gonzales LA 70737-3463 | |
(225) 647-6636 | |
(225) 647-3849 |
Full Name | Ascension Medical Clinic, Llc |
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Speciality | General Practice |
Location | 214 S Burnside Ave Ste A, Gonzales, Louisiana |
Authorized Official Name and Position | Steven L Holmes (GENERAL PRACTIONER) |
Authorized Official Contact | 2256476636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ascension Medical Clinic, Llc 214 S Burnside Ave Ste A Gonzales LA 70737-3463 Ph: (225) 647-6636 | Ascension Medical Clinic, Llc 214 S Burnside Ave Ste A Gonzales LA 70737-3463 Ph: (225) 647-6636 |
NPI Number | 1104084938 |
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Provider Enumeration Date | 05/29/2008 |
Last Update Date | 05/29/2008 |
Identifier | Type | State | Issuer |
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1104084938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD09828R (Louisiana) | Primary |
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