Fcim Extended Services Llp | |
176 Versailles Blvd Alexandria LA 71303-2493 | |
(318) 445-9331 | |
(318) 619-6899 |
Full Name | Fcim Extended Services Llp |
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Speciality | Internal Medicine |
Location | 176 Versailles Blvd, Alexandria, Louisiana |
Authorized Official Name and Position | Alexis Terrell (OPERATIONS MANAGER) |
Authorized Official Contact | 3184459331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fcim Extended Services Llp 176 Versailles Blvd Alexandria LA 71303-2493 Ph: (318) 445-9331 | Fcim Extended Services Llp 176 Versailles Blvd Alexandria LA 71303-2493 Ph: (318) 445-9331 |
NPI Number | 1619724721 |
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Provider Enumeration Date | 05/06/2024 |
Last Update Date | 08/14/2024 |
Medicare PECOS PAC ID | 8325586134 |
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Medicare Enrollment ID | O20240812002190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619724721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jose Garcia-ramirez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346233293 PECOS PAC ID: 8022913037 Enrollment ID: I20031203000530 |
Provider Name | Hong Y Liu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831182781 PECOS PAC ID: 1850337585 Enrollment ID: I20050705000513 |
Provider Name | Daniel Renois |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316043730 PECOS PAC ID: 6507895885 Enrollment ID: I20050808000106 |
Provider Name | Roberto Jose Garcia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780627000 PECOS PAC ID: 5496724387 Enrollment ID: I20060623000180 |
Provider Name | Zack Terry Buckalew |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205829199 PECOS PAC ID: 6103914650 Enrollment ID: I20100224000109 |
Provider Name | Ernesto J Garcia-ramos |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326035122 PECOS PAC ID: 8426094004 Enrollment ID: I20100824001073 |
Provider Name | Blaine M Broussard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023251659 PECOS PAC ID: 8921249459 Enrollment ID: I20130726000093 |
Provider Name | Bridgett D Foreman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902226285 PECOS PAC ID: 0941503833 Enrollment ID: I20180717000266 |
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