Organization
MINUTE MED CLINIC-VEROT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD ALAN BOUDREAUX MDQ (OWNER)
(337) 412-6650
Entity
Organization
Contact information
Practice address
626 VEROT SCHOOL RD, SUITE F, LAFAYETTE, LA 70508-5094
(337) 412-6650
Mailing address
626 VEROT SCHOOL RD, SUITE F, LAFAYETTE, LA 70508-5094
(337) 412-6650
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
LA
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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