# CHILDREN'S INTERNATIONAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's International Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003451188
- **Authorized official:** EDUARDO HERNANDEZ (CEO/MANAGER)
- **Authorized official phone:** (985) 646-1580

## Contact information

- **Practice address:** 216 MYSTIC BLVD, HOUMA, LA 70360-2870
- **Practice address phone:** (985) 868-9339
- **Practice address fax:** (855) 519-4481
- **Mailing address:** 59101 AMBER ST, SLIDELL, LA 70461-3708
- **Mailing address phone:** (985) 646-1580
- **Mailing address fax:** (888) 863-4247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2019
- **Last updated:** 11/12/2019
