| Tracie L Dubose Fnp Llc | |
|
281 Moosa Blvd Eunice LA 70535-3638 | |
| (337) 457-2200 | |
| (337) 457-2203 |
| Full Name | Tracie L Dubose Fnp Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 281 Moosa Blvd, Eunice, Louisiana |
| Authorized Official Name and Position | Tracie L Dubose (PRESIDENT) |
| Authorized Official Contact | 3374572200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie L Dubose Fnp Llc 281 Moosa Blvd Eunice LA 70535-3638 Ph: (337) 457-2200 | Tracie L Dubose Fnp Llc 281 Moosa Blvd Eunice LA 70535-3638 Ph: (337) 457-2200 |
| NPI Number | 1700159175 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700159175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP06739 (Louisiana) | Primary |
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