Organization
VESTRA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J BOUDREAUX (CEO)
(337) 884-8799
Entity
Organization
Contact information
Practice address
287 PANTHER TRAIL DRIVE, KINDER, LA 70648
(337) 738-4180
(337) 738-4179
Mailing address
218 ENGLISH GARDENS PKWY, LAFAYETTE, LA 70503-5680
(337) 884-8799
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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