Organization
THE UROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAT TUCKER (INS CLERK)
(337) 365-4113
Entity
Organization
Contact information
Practice address
602 N LEWIS ST STE 400, NEW IBERIA, LA 70563-2093
(337) 365-4113
(337) 365-4115
Mailing address
602 N LEWIS ST STE 400, NEW IBERIA, LA 70563-2093
(337) 365-4113
(337) 365-4115
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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