| Galvez Doctors Clinic, Inc | |
|
1407 Piety St New Orleans LA 70117-6035 | |
| (504) 940-0820 | |
| (504) 466-6209 |
| Full Name | Galvez Doctors Clinic, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1407 Piety St, New Orleans, Louisiana |
| Authorized Official Name and Position | Theresa Peters Fisher (CEO ADMINISTRATOR) |
| Authorized Official Contact | 5049400820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galvez Doctors Clinic, Inc 1407 Piety St New Orleans LA 70117-6035 Ph: (504) 940-0820 | Galvez Doctors Clinic, Inc 1407 Piety St New Orleans LA 70117-6035 Ph: (504) 940-0820 |
| NPI Number | 1073569117 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073569117 | NPI | - | NPPES |
| 1445258 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 09539R (Louisiana) | Primary |
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