| Southwest Medical Center Multi Specialty Group Llc | |
|
4212 W Congress St Ste2400d Lafayette LA 70506-6765 | |
| (337) 981-3088 | |
| (337) 981-3087 |
| Full Name | Southwest Medical Center Multi Specialty Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4212 W Congress St, Lafayette, Louisiana |
| Authorized Official Name and Position | James M. Remetich (VP, PHYSICIAN OPERATIONS) |
| Authorized Official Contact | 5049887044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Center Multi Specialty Group Llc 4212 W Congress St Ste2400d Lafayette LA 70506-6765 Ph: (337) 981-3088 | Southwest Medical Center Multi Specialty Group Llc 4212 W Congress St Ste2400d Lafayette LA 70506-6765 Ph: (337) 981-3088 |
| NPI Number | 1649456617 |
|---|---|
| Provider Enumeration Date | 01/21/2008 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649456617 | NPI | - | NPPES |
| 1807443 | Medicaid | LA | |
| DG9691 | Other | LA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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