Organization
CHILDREN'S INTERNATIONAL, LLC
Active
Other names
Children's International Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO HERNANDEZ (CEO/MANAGER)
(985) 646-1580
Entity
Organization
Contact information
Practice address
216 MYSTIC BLVD, HOUMA, LA 70360-2870
(985) 868-9339
(855) 519-4481
Mailing address
59101 AMBER ST, SLIDELL, LA 70461-3708
(985) 646-1580
(888) 863-4247
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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