David M. Remedios Apmc | |
5615 Jackson Street Ext Building E. Alexandria LA 71303-2326 | |
(318) 442-6989 | |
(318) 442-7123 |
Full Name | David M. Remedios Apmc |
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Speciality | Clinic/Center |
Location | 5615 Jackson Street Ext, Alexandria, Louisiana |
Authorized Official Name and Position | David Manuel Remedios (CEO) |
Authorized Official Contact | 3184426989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David M. Remedios Apmc 5615 Jackson Street Ext Building E. Alexandria LA 71303-2326 Ph: (318) 442-6989 | David M. Remedios Apmc 5615 Jackson Street Ext Building E. Alexandria LA 71303-2326 Ph: (318) 442-6989 |
NPI Number | 1164620357 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 05/16/2011 |
Medicare PECOS PAC ID | 2567453657 |
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Medicare Enrollment ID | O20040519000065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164620357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | David Manuel Remedios |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1518954833 PECOS PAC ID: 6406742832 Enrollment ID: I20040224000354 |
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