Organization
AVOYELLES PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHID MANSOOR M.D. (PRESIDENT)
(318) 484-3899
Entity
Organization
Contact information
Practice address
501 MEDICAL CENTER DR, STE 3A, ALEXANDRIA, LA 71301-8124
(318) 484-3899
(318) 484-3887
Mailing address
338 MOREAU ST, MARKSVILLE, LA 71351-2956
(318) 484-3899
(318) 484-3887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD13654R
LA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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