Organization
FASTRAC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RORY LADELL BELL N/A (CFO)
(504) 259-1834
Entity
Organization
Contact information
Practice address
213 RUELLE DU CHENE DR, MADISONVILLE, LA 70447-3109
(601) 668-9843
Mailing address
213 RUELLE DU CHENE DR, MADISONVILLE, LA 70447-3109
(601) 668-9843
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP05926
LA
Other
Enumeration date
03/07/2010
Last updated
03/07/2010
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