Organization
CENLA HEALTHCARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S BEVELS MD (OWNER)
(318) 487-6060
Entity
Organization
Contact information
Practice address
3802 PRESCOTT RD, ALEXANDRIA, LA 71301-3731
(318) 487-6060
(318) 880-0359
Mailing address
3802 PRESCOTT RD, ALEXANDRIA, LA 71301-3731
(318) 487-6060
(318) 880-0359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD025432
MEDICAL LICENSE
LA
Enumeration date
10/26/2015
Last updated
10/26/2015
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