Organization
MEADOWCREST MULTI-SPECIALTY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
2500 BELLE CHASSE HWY, GRETNA, LA 70056
(504) 392-3131
(504) 391-5498
Mailing address
2500 BELLE CHASSE HWY, GRETNA, LA 70056
(504) 392-3131
(504) 391-5498
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
06/08/2016
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