Organization
MPS HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SMITH FNP (MANAGING MEMBER)
(225) 938-0593
Entity
Organization
Contact information
Practice address
16416 SPANISH CT, GREENWELL SPRINGS, LA 70739-5936
(225) 938-0593
Mailing address
16416 SPANISH CT, GREENWELL SPRINGS, LA 70739-5936
(225) 938-0593
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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