Organization
CHILDREN'S INTERNATIONAL, LLC
Active
Organization
CHILDREN'S INTERNATIONAL, LLC
Active
Other names
Children's International Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO HERNANDEZ MD (CHIEF EXECUTIVE OFFICE)
(985) 646-1580
Entity
Organization
Contact information
Practice address
2003 WILDWOOD RD, PICAYUNE, MS 39466-2178
(985) 646-1580
Mailing address
59101 AMBER ST, SLIDELL, LA 70461-3708
(985) 646-1580
(888) 863-4274
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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