Organization
ST. MARYGRACE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADENIKE A TINUBU MD (OWNER / OPERATOR / PHYSICIAN)
(337) 678-0918
Entity
Organization
Contact information
Practice address
1270 ATTAKAPAS DR, SUITE 404, OPELOUSAS, LA 70570-6549
(337) 678-0918
(337) 678-0927
Mailing address
1270 ATTAKAPAS DR, SUITE 404, OPELOUSAS, LA 70570-6549
(337) 678-0918
(337) 678-0927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202981
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306055652
DR'S NPI
LA
05
—
4507245
—
LA
Enumeration date
08/23/2009
Last updated
03/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us