Organization
NATCHITOCHES PULMONARY CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER PERE M.D. (OWNER)
(318) 354-0003
Entity
Organization
Contact information
Practice address
431 JEFFERSON ST, NATCHITOCHES, LA 71457-4633
(318) 354-0003
(318) 354-0903
Mailing address
431 JEFFERSON STREET, NATCHITOCHES, LA 71457-4633
(318) 354-0003
(318) 354-0903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10683R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1990051
—
LA
Enumeration date
12/06/2006
Last updated
08/22/2020
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