| Thomas N. Trahan, M.d. Llc | |
|
4917 W Park Dr Zachary LA 70791-4012 | |
| (225) 658-4110 | |
| Not Available |
| Full Name | Thomas N. Trahan, M.d. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4917 W Park Dr, Zachary, Louisiana |
| Authorized Official Name and Position | Thomas N Trahan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2256584110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas N. Trahan, M.d. Llc 8951 Highway 67 Clinton LA 70722-4917 Ph: (225) 658-4110 | Thomas N. Trahan, M.d. Llc 4917 W Park Dr Zachary LA 70791-4012 Ph: (225) 658-4110 |
| NPI Number | 1689055683 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Medicare PECOS PAC ID | 5294049102 |
|---|---|
| Medicare Enrollment ID | O20150806010104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689055683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD.018535 (Louisiana) | Primary |
| Provider Name | Thomas N Trahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912097460 PECOS PAC ID: 3971553041 Enrollment ID: I20050126000682 |
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