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Organization

RAYLAND K. BEURLOT, M.D., APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYLAND KEVIN BEURLOT M.D. (PHYSICIAN/OWNER)
(318) 473-9050
Entity
Organization

Contact information

Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
PO BOX 12787, ALEXANDRIA, LA 71315-2787
(318) 473-9050
(318) 473-0086

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619156916
ORGANIZATION NPI
01
5BC72
MEDICARE GROUP PTAN
Enumeration date
11/02/2007
Last updated
09/28/2023
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