| Acadian Health, Llc | |
|
2022 Humble Place Dr Humble TX 77338-5281 | |
| (337) 315-7927 | |
| Not Available |
| Full Name | Acadian Health, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2022 Humble Place Dr, Humble, Texas |
| Authorized Official Name and Position | Thomas Leonards (MANAGER OF CONTRACTS) |
| Authorized Official Contact | 3372914039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadian Health, Llc Po Box 98000 Lafayette LA 70509-8000 Ph: () - | Acadian Health, Llc 2022 Humble Place Dr Humble TX 77338-5281 Ph: (337) 315-7927 |
| NPI Number | 1033733688 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 12/16/2020 |
| Medicare PECOS PAC ID | 3274957295 |
|---|---|
| Medicare Enrollment ID | O20200723002472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033733688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rosemary St Clergy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497780068 PECOS PAC ID: 6002865169 Enrollment ID: I20050527000109 |
| Provider Name | Brad A Boudreaux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811076995 PECOS PAC ID: 6800998105 Enrollment ID: I20070216000121 |
| Provider Name | Charles P Burnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841233707 PECOS PAC ID: 8527198035 Enrollment ID: I20100714000083 |
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