# RIVERPARK AFTER HOURS CLINIC LLC

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

## Provider details

- **NPI number:** 1396792495
- **Authorized official:** IBRAHIM SEKI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (318) 336-2222

## Contact information

- **Practice address:** 107 FRONT ST, VIDALIA, LA 71373-2836
- **Practice address phone:** (318) 336-2222
- **Practice address fax:** (318) 336-6064
- **Mailing address:** 107 FRONT ST, VIDALIA, LA 71373-2836
- **Mailing address phone:** (318) 336-2222
- **Mailing address fax:** (318) 336-6064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | MD14808R | LA | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020