| Enclave Health Plus Llc | |
|
327 Jefferson Oaks Dr Ruston LA 71270-7080 | |
| (318) 254-3001 | |
| Not Available |
| Full Name | Enclave Health Plus Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 327 Jefferson Oaks Dr, Ruston, Louisiana |
| Authorized Official Name and Position | Sedo Tamakloe (MD (OWNER)) |
| Authorized Official Contact | 3182543001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enclave Health Plus Llc 327 Jefferson Oaks Dr Ruston LA 71270-7080 Ph: (318) 254-3001 | Enclave Health Plus Llc 327 Jefferson Oaks Dr Ruston LA 71270-7080 Ph: (318) 254-3001 |
| NPI Number | 1477178804 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 06/11/2020 |
| Medicare PECOS PAC ID | 4688090111 |
|---|---|
| Medicare Enrollment ID | O20200814001114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477178804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sedo E Tamakloe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386652006 PECOS PAC ID: 4284639634 Enrollment ID: I20080117000101 |
| Provider Name | Martina Abena Tamakloe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396770566 PECOS PAC ID: 3678586054 Enrollment ID: I20080402000097 |
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