| Delta Medical Practices, L.l.c. | |
|
510 S Washington St Bastrop LA 71220-5033 | |
| (318) 556-3333 | |
| Not Available |
| Full Name | Delta Medical Practices, L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 510 S Washington St, Bastrop, Louisiana |
| Authorized Official Name and Position | Charles Goodwin Gladney (MANAGER) |
| Authorized Official Contact | 3182810078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Medical Practices, L.l.c. 1523 Texas Ave Bastrop LA 71220-4043 Ph: () - | Delta Medical Practices, L.l.c. 510 S Washington St Bastrop LA 71220-5033 Ph: (318) 556-3333 |
| NPI Number | 1871732669 |
|---|---|
| Provider Enumeration Date | 02/18/2009 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871732669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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