| Plaza Orthopedic Clinic | |
|
15770 Paul Vega Md Dr Suite 108 Hammond LA 70403-1475 | |
| (985) 230-1682 | |
| (985) 230-1617 |
| Full Name | Plaza Orthopedic Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 15770 Paul Vega Md Dr, Hammond, Louisiana |
| Authorized Official Name and Position | Shirley Hsing (SR. V.P. / C.F.O.) |
| Authorized Official Contact | 9852306603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Orthopedic Clinic Po Box 3087 Hammond LA 70404-3087 Ph: (985) 370-7853 | Plaza Orthopedic Clinic 15770 Paul Vega Md Dr Suite 108 Hammond LA 70403-1475 Ph: (985) 230-1682 |
| NPI Number | 1912259417 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912259417 | NPI | - | NPPES |
| 1447587 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Louisiana) | Primary |
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