Bayou Telemedicine Llc | |
1703 Arizona Ave Monroe LA 71202-3632 | |
(800) 819-3218 | |
(800) 819-6261 |
Full Name | Bayou Telemedicine Llc |
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Speciality | Clinic/center |
Location | 1703 Arizona Ave, Monroe, Louisiana |
Authorized Official Name and Position | Sandra Jones (OWNER) |
Authorized Official Contact | 8008193218 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bayou Telemedicine Llc Po Box 1221 Mansfield TX 76063-1221 Ph: (800) 819-3218 | Bayou Telemedicine Llc 1703 Arizona Ave Monroe LA 71202-3632 Ph: (800) 819-3218 |
NPI Number | 1124645130 |
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Provider Enumeration Date | 06/26/2020 |
Last Update Date | 09/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124645130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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