| Personalized Care Of Avoyelles | |
|
1408 Front St Cottonport LA 71327-3514 | |
| (318) 876-2800 | |
| (318) 876-2803 |
| Full Name | Personalized Care Of Avoyelles |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 1408 Front St, Cottonport, Louisiana |
| Authorized Official Name and Position | Kymberly G Robeau (OWNER) |
| Authorized Official Contact | 3188762800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Care Of Avoyelles 1408 Front St. Cottonport LA 71327-3540 Ph: (318) 876-2800 | Personalized Care Of Avoyelles 1408 Front St Cottonport LA 71327-3514 Ph: (318) 876-2800 |
| NPI Number | 1386941821 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 12/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386941821 | NPI | - | NPPES |
| 1800821 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | AP04351 (Louisiana) | Primary |
Newell E. Gauthier, Jr. Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Bryan St., Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Cottonport Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 Sycamore St Ste B, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-876-3211 |