Organization
DR CONCEPCION & ASSOCIATES THERAPEUTIC CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIOLETA CONCEPCION CFO (CHIEF FINANCIAL OFFICER)
(337) 981-1400
Entity
Organization
Contact information
Practice address
1131 RUE DU BELIER, LAFAYETTE, LA 70506-6532
(337) 981-1400
(337) 981-6611
Mailing address
1131 RUE DU BELIER, LAFAYETTE, LA 70506-6532
(337) 981-1400
(337) 981-6611
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11294R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11294R
STATE LICENSE
LA
05
—
1664448
—
LA
01
—
2084P0800X
TAXONOMY
—
Enumeration date
05/12/2008
Last updated
03/10/2014
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