| Maxx Medical Corporation | |
|
329 South Dr Natchitoches LA 71457-5060 | |
| (318) 238-5900 | |
| (318) 238-5901 |
| Full Name | Maxx Medical Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 329 South Dr, Natchitoches, Louisiana |
| Authorized Official Name and Position | Cherilynne T. Cottles (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3182385900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxx Medical Corporation 329 South Dr Natchitoches LA 71457-5060 Ph: (318) 238-5900 | Maxx Medical Corporation 329 South Dr Natchitoches LA 71457-5060 Ph: (318) 238-5900 |
| NPI Number | 1679710420 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679710420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 16920 (Louisiana) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | 16920 (Louisiana) | Secondary |
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