| The Hospitalist Practice | |
|
148 Wall Blvd Gretna LA 70056-7107 | |
| (504) 393-2775 | |
| (504) 393-2744 |
| Full Name | The Hospitalist Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 148 Wall Blvd, Gretna, Louisiana |
| Authorized Official Name and Position | Julio Guillen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5043932775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hospitalist Practice 148 Wall Blvd Gretna LA 70056-7107 Ph: (504) 393-2775 | The Hospitalist Practice 148 Wall Blvd Gretna LA 70056-7107 Ph: (504) 393-2775 |
| NPI Number | 1821034620 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821034620 | NPI | - | NPPES |
| 1445428 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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