| Jaime M. Cordova, M.d., Apmc | |
|
1442 E Bridge St Breaux Bridge LA 70517-3406 | |
| (337) 332-2428 | |
| (337) 332-6977 |
| Full Name | Jaime M. Cordova, M.d., Apmc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1442 E Bridge St, Breaux Bridge, Louisiana |
| Authorized Official Name and Position | Jaime M Cordova (PHYSICIAN) |
| Authorized Official Contact | 3373322428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime M. Cordova, M.d., Apmc 1442 E Bridge St Breaux Bridge LA 70517-3406 Ph: (337) 332-2428 | Jaime M. Cordova, M.d., Apmc 1442 E Bridge St Breaux Bridge LA 70517-3406 Ph: (337) 332-2428 |
| NPI Number | 1447554365 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 0244429801 |
|---|---|
| Medicare Enrollment ID | O20110112000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447554365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jaime M Cordova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841309556 PECOS PAC ID: 2860681426 Enrollment ID: I20110112000926 |
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