| Reginald P Segar Md Inc | |
|
631 West Maple Avenue Eunice LA 70535 | |
| (337) 546-0424 | |
| (337) 457-7989 |
| Full Name | Reginald P Segar Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 631 West Maple Avenue, Eunice, Louisiana |
| Authorized Official Name and Position | Reginald Patrick Segar (OWNER) |
| Authorized Official Contact | 3375460424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reginald P Segar Md Inc Po Box 967 Eunice LA 70535 Ph: (337) 546-0424 | Reginald P Segar Md Inc 631 West Maple Avenue Eunice LA 70535 Ph: (337) 546-0424 |
| NPI Number | 1184728370 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 10/18/2007 |
| Medicare PECOS PAC ID | 0941396956 |
|---|---|
| Medicare Enrollment ID | O20071022000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184728370 | NPI | - | NPPES |
| 1449351 | Medicaid | LA | |
| 1126829 | Medicaid | LA | |
| S769 | Other | LA | DEPT HEALTH HOSPITALS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 011877 (Louisiana) | Primary |
| Provider Name | Reginald P Segar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720057417 PECOS PAC ID: 3779679782 Enrollment ID: I20071022000277 |
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