Erath Family Doctor Clinc, Inc | |
402 E Edwards St Erath LA 70533-4114 | |
(337) 937-5803 | |
(337) 937-5806 |
Full Name | Erath Family Doctor Clinc, Inc |
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Speciality | Clinic/center |
Location | 402 E Edwards St, Erath, Louisiana |
Authorized Official Name and Position | John S Thibodeaux (PRESIDENT) |
Authorized Official Contact | 3379375803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Erath Family Doctor Clinc, Inc 402 E Edwards St Erath LA 70533-4114 Ph: (337) 937-5803 | Erath Family Doctor Clinc, Inc 402 E Edwards St Erath LA 70533-4114 Ph: (337) 937-5803 |
NPI Number | 1770732109 |
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Provider Enumeration Date | 09/10/2008 |
Last Update Date | 11/06/2008 |
Identifier | Type | State | Issuer |
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1770732109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |