| Opus Coalesce | |
|
71107 Highway 21 Covington LA 70433-7243 | |
| (985) 246-5670 | |
| Not Available |
| Full Name | Opus Coalesce |
|---|---|
| Speciality | Family Medicine |
| Location | 71107 Highway 21, Covington, Louisiana |
| Authorized Official Name and Position | Jason Domangue (SOLE MEMBER) |
| Authorized Official Contact | 9858928934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opus Coalesce 127 Highway 22 E Apt Ns Madisonville LA 70447-9306 Ph: () - | Opus Coalesce 71107 Highway 21 Covington LA 70433-7243 Ph: (985) 246-5670 |
| NPI Number | 1659728269 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 05/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659728269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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