Organization
PEDIATRIC GROUP OF ACADIANA LLC
Active
Other names
Kids Clinic and Adult Wellness of Crowley
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE RABENALDT (CREDENTIALING COORDINATOR)
(337) 608-8988
Entity
Organization
Contact information
Practice address
1307 CROWLEY RAYNE HWY STE C, CROWLEY, LA 70526-8210
(337) 250-4710
Mailing address
302 HACKER ST, NEW IBERIA, LA 70560-4508
(337) 330-2576
(337) 417-9909
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
08/29/2024
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