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Organization

SABINE MEDICAL ASSOCIATES, INC.

Active
Other names
Husam Sukerek, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUSAM HAIDAR SUKEREK M.D. (PRESIDENT/OFFICER)
(318) 256-5722
Entity
Organization

Contact information

Practice address
210 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5722
(318) 256-5774
Mailing address
210 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5722
(318) 256-5774

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13676R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1436542
LA
Enumeration date
07/31/2007
Last updated
07/31/2007
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