Organization
THE HOSPITALIST PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO GUILLEN JR. MD (MEDICAL DIRECTOR)
(504) 393-2775
Entity
Organization
Contact information
Practice address
148 WALL BLVD, GRETNA, LA 70056-7107
(504) 393-2775
(504) 393-2744
Mailing address
148 WALL BLVD, GRETNA, LA 70056-7107
(504) 393-2775
(504) 393-2744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445428
—
LA
Enumeration date
06/21/2006
Last updated
10/22/2007
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