| Razz Addiction And Recovery, Llc | |
|
570 Heard Rd Ruston LA 71270 | |
| (318) 237-0785 | |
| Not Available |
| Full Name | Razz Addiction And Recovery, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 570 Heard Rd, Ruston, Louisiana |
| Authorized Official Name and Position | William Rasberry (OWNER) |
| Authorized Official Contact | 3182370785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Razz Addiction And Recovery, Llc 570 Heard Rd Ruston LA 71270 Ph: () - | Razz Addiction And Recovery, Llc 570 Heard Rd Ruston LA 71270 Ph: (318) 237-0785 |
| NPI Number | 1972146132 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 10/28/2019 |
| Medicare PECOS PAC ID | 5496186165 |
|---|---|
| Medicare Enrollment ID | O20200513000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972146132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William G Rasberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891020129 PECOS PAC ID: 4587703640 Enrollment ID: I20091202000489 |
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