# PMA MEDICAL TREATMENT CENTERS, LLC

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

## Provider details

- **NPI number:** 1881880763
- **Authorized official:** MRS. MARIE T PATRON (OPERATING MANAGER)
- **Authorized official phone:** (504) 782-8267

## Contact information

- **Practice address:** 613 WILLIAMS BLVD, KENNER, LA 70062-7635
- **Practice address phone:** (504) 441-5555
- **Practice address fax:** (504) 455-4357
- **Mailing address:** 613 WILLIAMS BLVD, KENNER, LA 70062-7635
- **Mailing address phone:** (504) 441-5555
- **Mailing address fax:** (504) 441-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 01/09/2012