# IMG PHYSICIANS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033157441
- **Authorized official:** MONIQUE ROMERO (REVENUE TEAM LEAD)
- **Authorized official phone:** (337) 408-0797

## Contact information

- **Practice address:** 56 STARBRUSH CIR, COVINGTON, LA 70433-7208
- **Practice address phone:** (337) 408-0797
- **Practice address fax:** (985) 871-0529
- **Mailing address:** 1375 CORPORATE SQUARE DR, SLIDELL, LA 70458-3147
- **Mailing address phone:** (337) 408-0797
- **Mailing address fax:** (985) 643-9808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 01/21/2022