| Dr Elenita P Santos-mata, MD | |
|
4851 W Park Dr, Suite A, Zachary, LA 70791-4010 | |
| (225) 658-7636 | |
| (225) 658-7634 |
| Full Name | Dr Elenita P Santos-mata |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 4851 W Park Dr, Zachary, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053454108 | NPI | - | NPPES |
| 1372617 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 07399R (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elenita P Santos-mata, MD 4851 W Park Dr, Suite A, Zachary, LA 70791-4010 Ph: (225) 658-7636 | Dr Elenita P Santos-mata, MD 4851 W Park Dr, Suite A, Zachary, LA 70791-4010 Ph: (225) 658-7636 |
Amanda Lavigne Talbot, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4242 Highway 19 Ste C, Zachary, LA 70791 Phone: 225-654-6140 Fax: 225-654-6122 | |
Amrullah Khelghati, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9305 Main St, Suite D, Zachary, LA 70791 Phone: 225-654-0300 Fax: 225-654-0102 | |
Taira Lynn Woodroffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4242 Highway 19, Building 3 Suite A, Zachary, LA 70791 Phone: 225-658-7860 Fax: 225-658-7862 |