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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