Organization
CLAIBORNE MEDICAL CORPORATION
Active
Other names
A PROFESSIONAL MEDICAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
FIAZ AFZAL MD (MEDICAL DIRECTOR)
(504) 891-9800
Entity
Organization
Contact information
Practice address
1000 VETERANS BLVD, KENNER, LA 70062
(504) 891-9800
(504) 461-0030
Mailing address
1000 VETERANS BLVD, KENNER, LA 70062
(504) 891-9800
(504) 461-0030
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
11980R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1687553
—
LA
Enumeration date
06/09/2008
Last updated
10/17/2011
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