Organization
JUAN A ESCARFULLER, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN A ESCARFULLER M.D. (OWNER)
(985) 385-9155
Entity
Organization
Contact information
Practice address
1151 MARGUERITE ST, SUITE 100A, MORGAN CITY, LA 70380-1850
(985) 385-9155
(985) 385-9108
Mailing address
1151 MARGUERITE ST, SUITE 100A, MORGAN CITY, LA 70380-1850
(985) 385-9155
(985) 385-9108
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
04051R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306517
—
LA
Enumeration date
05/16/2009
Last updated
05/19/2009
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