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Organization

TECHE ACTION BOARD, INC.

Active
Other names
Teche Action Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY M WILTZ MD (CEO)
(337) 828-2550
Entity
Organization

Contact information

Practice address
1115 WEBER STREET, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335
Mailing address
1115 WEBER STREET, FRANKLIN, LA 70538-4124
(337) 828-2550

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
04402470N
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1136174
LA
Enumeration date
12/26/2007
Last updated
07/12/2023
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