Organization
BYRD MEDICAL CLINIC INC
Active
Parent organization
BYRD MEDICAL CLINIC INC
Other names
Glen Hurlston APMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BYRD MEDICAL CLINIC INC
Authorized official
MR. KEVIN QUINN (CEO)
(337) 239-5114
Entity
Organization
Contact information
Practice address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(337) 239-9041
(337) 239-5360
Mailing address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(337) 239-5114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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