Organization
PHYSICIANS MEDICAL CENTER, LLC
Active
Other names
Physicians Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
131 CORPORATE DR, HOUMA, LA 70360-2767
(985) 580-9990
(985) 580-9984
Mailing address
218 CORPORATE DR, HOUMA, LA 70360-2768
(985) 580-9990
(985) 580-9984
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F804
PART B
LA
Enumeration date
12/09/2015
Last updated
10/13/2020
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