| Minute Med-johnston Llc | |
|
2912 Johnston Street Lafayette LA 70503 | |
| (337) 456-3519 | |
| Not Available |
| Full Name | Minute Med-johnston Llc |
|---|---|
| Speciality | General Practice |
| Location | 2912 Johnston Street, Lafayette, Louisiana |
| Authorized Official Name and Position | Brad Alan Boudreaux (OWNER) |
| Authorized Official Contact | 3374563519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minute Med-johnston Llc 2912 Johnston Street Lafayette LA 70503 Ph: (337) 456-3519 | Minute Med-johnston Llc 2912 Johnston Street Lafayette LA 70503 Ph: (337) 456-3519 |
| NPI Number | 1215369665 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215369665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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