Organization
COMMUNITAS PRIMARY CARE ST JAMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON ROUSSEL MD (OWNER)
(713) 703-9910
Entity
Organization
Contact information
Practice address
998 STANFORD AVE APT 305, BATON ROUGE, LA 70808-3665
(713) 703-9910
Mailing address
10900 HIGHWAY 3125 STE F, LUTCHER, LA 70071-5639
(225) 283-4457
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD.207273
LA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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