# ALEXANDRIA WOMENS CENTER A MEDICAL

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

## Provider details

- **NPI number:** 1295872992
- **Authorized official:** DR. GLENN RICHARD AUCOIN M.D. (VICE PRESIDENT/TREASURER)
- **Authorized official phone:** (318) 443-7222

## Contact information

- **Practice address:** 3304 MASONIC DRIVE, SUITE 4001, ALEXANDRIA, LA 71301-9998
- **Practice address phone:** (318) 443-7222
- **Practice address fax:** (318) 443-7641
- **Mailing address:** P.O. BOX 13318, SUITE 410, ALEXANDRIA, LA 71315-9998
- **Mailing address phone:** (318) 443-7222
- **Mailing address fax:** (318) 443-7641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 10/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1363961 | — | LA |
| 05 | — | 1489301 | — | LA |
| 05 | — | 1492183 | — | LA |
| 05 | — | 1917664 | — | LA |