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Organization

CARDIOLOGY CLINIC OF DERIDDER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATE YUE (OFF/BILLING MANAGER)
(337) 460-1353
Entity
Organization

Contact information

Practice address
101 W 6TH ST, DERIDDER, LA 70634-4963
(337) 460-1353
Mailing address
PO BOX 271962, HOUSTON, TX 77277-1962
(858) 837-0731
(888) 833-1680

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
12663R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1572853
LA
Enumeration date
10/11/2007
Last updated
07/19/2019
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