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Organization

TECHE ACTION BOARD, INC.

Active
Other names
Teche Health SBHC @ LaPlace Elementary
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY WILTZ M.D (CEO)
(337) 828-2550
Entity
Organization

Contact information

Practice address
393 GREENWOOD DR, LA PLACE, LA 70068-2535
(337) 828-2550
(337) 355-2335
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2426427
LA
Enumeration date
05/18/2016
Last updated
08/11/2025
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