| Fastrac Medical Center | |
|
213 Ruelle Du Chene Dr Madisonville LA 70447-3109 | |
| (601) 668-9843 | |
| Not Available |
| Full Name | Fastrac Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 213 Ruelle Du Chene Dr, Madisonville, Louisiana |
| Authorized Official Name and Position | Rory Ladell Bell (CFO) |
| Authorized Official Contact | 5042591834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fastrac Medical Center 213 Ruelle Du Chene Dr Madisonville LA 70447-3109 Ph: (601) 668-9843 | Fastrac Medical Center 213 Ruelle Du Chene Dr Madisonville LA 70447-3109 Ph: (601) 668-9843 |
| NPI Number | 1972826824 |
|---|---|
| Provider Enumeration Date | 03/07/2010 |
| Last Update Date | 03/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972826824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP05926 (Louisiana) | Primary |
Associated Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Hwy 21, Madisonville, LA 70447 Phone: 985-845-1825 Fax: 985-845-1823 |