Ochsner Clinic Llc | |
14601 Airline Hwy Ste 103 Gonzales LA 70737-6658 | |
(225) 236-5970 | |
(225) 236-5971 |
Full Name | Ochsner Clinic Llc |
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Speciality | Internal Medicine |
Location | 14601 Airline Hwy Ste 103, Gonzales, Louisiana |
Authorized Official Name and Position | Eduardo Benitez (DIRECTOR) |
Authorized Official Contact | 5048426933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ochsner Clinic Llc 1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: (504) 842-4000 | Ochsner Clinic Llc 14601 Airline Hwy Ste 103 Gonzales LA 70737-6658 Ph: (225) 236-5970 |
NPI Number | 1265078877 |
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Provider Enumeration Date | 11/19/2019 |
Last Update Date | 11/19/2019 |
Identifier | Type | State | Issuer |
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1265078877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Ochsner Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 S Burnside Ave, Gonzales, LA 70737 Phone: 225-709-2410 Fax: 225-709-2411 |