| Wellness & Health Clinic Llc | |
|
9241 Bluebonnet Blvd Ste B Baton Rouge LA 70810-2971 | |
| (225) 757-6031 | |
| Not Available |
| Full Name | Wellness & Health Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9241 Bluebonnet Blvd Ste B, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Marykutty J Thomas (PHYSICIAN) |
| Authorized Official Contact | 2257576031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness & Health Clinic Llc 18756 Bienville Ct Prairieville LA 70769-3240 Ph: (225) 939-3131 | Wellness & Health Clinic Llc 9241 Bluebonnet Blvd Ste B Baton Rouge LA 70810-2971 Ph: (225) 757-6031 |
| NPI Number | 1033720826 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 09/10/2020 |
| Medicare PECOS PAC ID | 3476906389 |
|---|---|
| Medicare Enrollment ID | O20240126003111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033720826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marykutty J Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477552156 PECOS PAC ID: 9436193323 Enrollment ID: I20150402001880 |
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