# RAUL G. REYES MD AMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LaClinica
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497075683
- **Authorized official:** DR. RAUL G. REYES M.D. (OWNER)
- **Authorized official phone:** (504) 904-0961

## Contact information

- **Practice address:** 361 W ESPLANADE AVE, KENNER, LA 70065-2541
- **Practice address phone:** (504) 904-0961
- **Practice address fax:** (504) 904-0962
- **Mailing address:** PO BOX 15379, NEW ORLEANS, LA 70175-5379
- **Mailing address phone:** (504) 904-0961
- **Mailing address fax:** (504) 904-0962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | M.D.007810 | LA | — |
| 208D00000X | General Practice Physician | M.D.007810 | LA | Yes |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 06/10/2010