Organization
LOUISIANA HOME VISITS MD L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WALKER MD (MEDICAL DIRECTOR)
(985) 232-9885
Entity
Organization
Contact information
Practice address
827 BAYOU GARDENS BLVD, HOUMA, LA 70364-1464
(985) 232-9885
Mailing address
1281 9TH AVE UNIT 2810, SAN DIEGO, CA 92101-4675
(619) 246-2319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780768630
CMS
LA
Enumeration date
07/11/2017
Last updated
07/11/2017
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