Organization
CHILDREN'S MULTI-SPECIALTY GROUP LLC
Active
Parent organization
HTI HOLDINGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HTI HOLDINGS INC
Authorized official
MR. MICKEY S PICKLER (VICE PRESIDENT)
(816) 508-4039
Entity
Organization
Contact information
Practice address
4704 AMBASSADOR CAFFERY PARKWAY, LAFAYETTE, LA 70508
(337) 521-9250
Mailing address
4704 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508
(337) 521-9250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036714
—
LA
Enumeration date
02/05/2008
Last updated
04/07/2014
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