Organization
PROFESSIONAL PEDIATRICS, LLC
Active
Other names
The Pediatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CROWE (PHYSICIAN)
(337) 238-0777
Entity
Organization
Contact information
Practice address
919 S 10TH ST, LEESVILLE, LA 71446-4613
(337) 239-2207
Mailing address
PO BOX 130, NEWLLANO, LA 71461-0130
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114841
—
LA
Enumeration date
04/15/2008
Last updated
07/21/2020
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