Organization
MEDICAL RESOURCES & GUIDANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY KING FONTENOT (PRESIDENT/ADMINISTRATOR)
(337) 363-4999
Entity
Organization
Contact information
Practice address
2269 HWY. 3185, THIBODAUX, LA 70301
(985) 446-6105
(985) 446-6418
Mailing address
PO BOX 568, VILLE PLATTE, LA 70586-0568
(337) 363-4999
(337) 363-3702
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
27008
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360449
—
LA
Enumeration date
12/07/2012
Last updated
12/07/2012
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