| Healthcare Innovations Of Metairie Llc | |
|
3535 Severn Ave Ste 8 Metairie LA 70002-3482 | |
| (504) 598-5074 | |
| (504) 598-5075 |
| Full Name | Healthcare Innovations Of Metairie Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3535 Severn Ave, Metairie, Louisiana |
| Authorized Official Name and Position | Clayton Mazoue (OWNER) |
| Authorized Official Contact | 5045985074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Innovations Of Metairie Llc 3535 Severn Ave Suite 8 Metairie LA 70002-3482 Ph: (504) 598-5074 | Healthcare Innovations Of Metairie Llc 3535 Severn Ave Ste 8 Metairie LA 70002-3482 Ph: (504) 598-5074 |
| NPI Number | 1679864466 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679864466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200841 (Louisiana) | Primary |
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