Organization
HOLLAND J PITRE MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA T LEVRON (CLINIC ADMINISTRATOR)
(985) 868-1810
Entity
Organization
Contact information
Practice address
12 PROFESSIONAL DR, HOUMA, LA 70360-4046
(985) 868-1810
(985) 876-3670
Mailing address
12 PROFESSIONAL DRIVE, HOUMA, LA 70360-4086
(985) 868-1810
(985) 876-3670
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12026
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1190047
—
LA
01
—
1467418152
NPIN
LA
Enumeration date
01/19/2011
Last updated
01/19/2011
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