Gii | |
855 Belanger St Suite 205 Houma LA 70360-4463 | |
(985) 868-7773 | |
(985) 868-4242 |
Full Name | Gii |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 855 Belanger St, Houma, Louisiana |
Authorized Official Name and Position | Khalid M. Moussa (PRESIDENT) |
Authorized Official Contact | 9858687773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gii Po Box 4041 Houma LA 70361-4041 Ph: (985) 868-7773 | Gii 855 Belanger St Suite 205 Houma LA 70360-4463 Ph: (985) 868-7773 |
NPI Number | 1003147364 |
---|---|
Provider Enumeration Date | 01/26/2010 |
Last Update Date | 01/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003147364 | NPI | - | NPPES |
1099058 | Medicaid | LA | |
1922116631 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 201030 (Louisiana) | Primary |
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