Organization
TOTAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MCBRIDE (ADMINISTRATOR)
(337) 237-8716
Entity
Organization
Contact information
Practice address
610 GUILBEAU RD, LAFAYETTE, LA 70506-8707
(337) 428-4263
Mailing address
309 LA RUE FRANCE APT 202, LAFAYETTE, LA 70508-3137
(337) 237-8716
(337) 237-8716
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107470
—
LA
Enumeration date
06/21/2019
Last updated
06/21/2019
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