Organization
CENTRAL LOUISIANA SENIOR CARE MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GUILLOT M.D. (OWNER)
(318) 416-7791
Entity
Organization
Contact information
Practice address
9372 HIGHWAY 165 S, WOODWORTH, LA 71485-9786
(855) 860-2109
Mailing address
1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
(972) 616-4702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022865
LA
Other
Enumeration date
05/02/2014
Last updated
02/18/2015
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