Organization
CHAUDHRY CLINIC LLC
Active
Parent organization
CHAUDHRY CLINIC LLC
Other names
Chaudhry Clinic LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHAUDHRY CLINIC LLC
Authorized official
DR. RIAZ M. CHAUDHRY MD (OWNER)
(318) 992-4133
Entity
Organization
Contact information
Practice address
11809 HWY 84 W., JENA, LA 71342
(318) 992-4133
(318) 992-4134
Mailing address
P.O.BOX 1470, 11809 HWY. 84 W., JENA, LA 71342
(318) 992-4133
(318) 992-4134
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3939R
LA
Other
Enumeration date
02/18/2009
Last updated
01/11/2017
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