| Highland Square Physicians | |
|
9605 Jefferson Hwy Ste. F River Ridge LA 70123-2550 | |
| (504) 737-1600 | |
| (504) 737-1264 |
| Full Name | Highland Square Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 9605 Jefferson Hwy, River Ridge, Louisiana |
| Authorized Official Name and Position | Robert W Mccord (OWNER/PHYSICIANS) |
| Authorized Official Contact | 5047381600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Square Physicians 9605 Jefferson Hwy Ste. F River Ridge LA 70123-2550 Ph: (504) 737-1600 | Highland Square Physicians 9605 Jefferson Hwy Ste. F River Ridge LA 70123-2550 Ph: (504) 737-1600 |
| NPI Number | 1881881886 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881881886 | NPI | - | NPPES |
| 1945285 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD016105 (Louisiana) | Primary |
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