Primary Care Services Llc | |
4300 Houma Blvd Suite 205 Metairie LA 70006-2932 | |
(504) 872-9679 | |
Not Available |
Full Name | Primary Care Services Llc |
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Speciality | Family Medicine |
Location | 4300 Houma Blvd, Metairie, Louisiana |
Authorized Official Name and Position | Sonia M Alvarez (OWNER) |
Authorized Official Contact | 5048729679 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Primary Care Services Llc 4300 Houma Blvd Suite 205 Metairie LA 70006-2932 Ph: (504) 872-9679 | Primary Care Services Llc 4300 Houma Blvd Suite 205 Metairie LA 70006-2932 Ph: (504) 872-9679 |
NPI Number | 1215186440 |
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Provider Enumeration Date | 09/11/2008 |
Last Update Date | 09/11/2008 |
Medicare PECOS PAC ID | 5991872889 |
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Medicare Enrollment ID | O20080918000148 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215186440 | NPI | - | NPPES |
1189430 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13869R (Louisiana) | Primary |
Provider Name | Sonia Maria Alvarez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134129760 PECOS PAC ID: 8628082393 Enrollment ID: I20060201000815 |
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