Mabel Brasher Elementary School Based Clinic | |
601 Cloverleaf Blvd Alexandria LA 71303-3808 | |
(318) 442-0878 | |
(318) 648-0378 |
Full Name | Mabel Brasher Elementary School Based Clinic |
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Speciality | Family Medicine |
Location | 601 Cloverleaf Blvd, Alexandria, Louisiana |
Authorized Official Name and Position | Deano Thornton (CEO) |
Authorized Official Contact | 3186480375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mabel Brasher Elementary School Based Clinic Po Box 1288 Winnfield LA 71483-1288 Ph: (318) 209-4510 | Mabel Brasher Elementary School Based Clinic 601 Cloverleaf Blvd Alexandria LA 71303-3808 Ph: (318) 442-0878 |
NPI Number | 1770147597 |
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Provider Enumeration Date | 04/26/2019 |
Last Update Date | 06/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770147597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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