Organization
CARL J RICHARD, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY AXTELL (BILLING AND CODING SPECIALIST)
(337) 962-1157
Entity
Organization
Contact information
Practice address
204 JACKSON AVE, KAPLAN, LA 70548-3920
(337) 643-8583
(337) 643-2584
Mailing address
204 JACKSON AVE, KAPLAN, LA 70548-3920
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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