| Mr Calvin Dale Vidrine, CRA RJ RN | |
|
174 Grant Rd, Opelousas, LA 70570-0720 | |
| (337) 594-9637 | |
| (337) 948-4556 |
| Full Name | Mr Calvin Dale Vidrine |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 174 Grant Rd, Opelousas, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639122195 | NPI | - | NPPES |
| 1664669 | Medicaid | LA | |
| 2000777340 | Other | LA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 10041005 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Calvin Dale Vidrine, CRA RJ RN Po Box 1939, Opelousas, LA 70571-1939 Ph: (337) 942-1915 | Mr Calvin Dale Vidrine, CRA RJ RN 174 Grant Rd, Opelousas, LA 70570-0720 Ph: (337) 594-9637 |
Dr. Gerard A. Ballanco Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6830 | |
Dr. Paula M. Sharkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 | |
Carol Pratt Becker, MD Radiology Medicare: Medicare Enrolled Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 | |
Dr. Edward Daniel Willett, Radiology Medicare: Not Enrolled in Medicare Practice Location: 539 East Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 |