Healthy Stats | |
416 N Burnside Ave Gonzales LA 70737-2828 | |
(225) 416-7518 | |
(225) 433-0809 |
Full Name | Healthy Stats |
---|---|
Speciality | Clinic/Center |
Location | 416 N Burnside Ave, Gonzales, Louisiana |
Authorized Official Name and Position | Darvis Keon Harvey (OWNER) |
Authorized Official Contact | 5045829300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Healthy Stats 3926 Barron St Ste C200 Metairie LA 70002-5799 Ph: (504) 582-9300 | Healthy Stats 416 N Burnside Ave Gonzales LA 70737-2828 Ph: (225) 416-7518 |
NPI Number | 1194474551 |
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Provider Enumeration Date | 03/22/2022 |
Last Update Date | 03/25/2022 |
Medicare PECOS PAC ID | 8527443803 |
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Medicare Enrollment ID | O20220922002963 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194474551 | NPI | - | NPPES |
Provider Name | Derrick Dean |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1841489820 PECOS PAC ID: 5890877575 Enrollment ID: I20080204000268 |
Provider Name | Shirleen Pannia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700335213 PECOS PAC ID: 9638598816 Enrollment ID: I20201008000479 |
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