Organization
DRS. SAMUELS & HUDDLESTON, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL PEREZ (ADMIN. ASST.)
(985) 871-8920
Entity
Organization
Contact information
Practice address
204 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7129
(985) 871-8920
(985) 871-9796
Mailing address
PO BOX 1847, COVINGTON, LA 70434-1847
(985) 871-8920
(985) 871-9796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012831
LA
174400000X
Specialist
013678
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795704
—
LA
Enumeration date
05/19/2006
Last updated
08/22/2020
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