Organization
DELTA MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA A HIMES CPC (BILLING OFFICE)
(504) 392-3392
Entity
Organization
Contact information
Practice address
103 DOCTOR BOWEN ST, BELLE CHASSE, LA 70037-1505
(504) 392-3392
(504) 392-3303
Mailing address
103 DOCTOR BOWEN ST, BELLE CHASSE, LA 70037-1505
(504) 392-3392
(504) 392-3303
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
025901
LA
Other
Enumeration date
03/12/2012
Last updated
06/25/2012
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