| Medxcel Letriomphe, L.l.c. | |
|
174 Heritage Ste H Broussard LA 70518-8046 | |
| (337) 856-7500 | |
| Not Available |
| Full Name | Medxcel Letriomphe, L.l.c. |
|---|---|
| Speciality | General Practice |
| Location | 174 Heritage, Broussard, Louisiana |
| Authorized Official Name and Position | Scott Desormeaux (OWNER) |
| Authorized Official Contact | 3378930788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medxcel Letriomphe, L.l.c. 121 Tivoli St Abbeville LA 70510-5173 Ph: (337) 893-0788 | Medxcel Letriomphe, L.l.c. 174 Heritage Ste H Broussard LA 70518-8046 Ph: (337) 856-7500 |
| NPI Number | 1619161528 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619161528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD021637 (Louisiana) | Primary |
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