Organization
O'BRIEN HOUSE
Active
Other names
O'Brien House Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L TALBERT (CREDENTIALING MANAGER)
(337) 855-9023
Entity
Organization
Contact information
Practice address
446 N 12TH ST, BATON ROUGE, LA 70802-4613
(225) 344-6345
(225) 246-7943
Mailing address
446 N 12TH ST, BATON ROUGE, LA 70802-4613
(225) 344-6345
(225) 246-7943
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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