| Ascension Medical Clinic, Llc | |
|
214 S Burnside Ave Ste A Gonzales LA 70737-3463 | |
| (225) 647-6636 | |
| (225) 647-3849 |
| Full Name | Ascension Medical Clinic, Llc |
|---|---|
| Speciality | General Practice |
| Location | 214 S Burnside Ave Ste A, Gonzales, Louisiana |
| Authorized Official Name and Position | Steven L Holmes (GENERAL PRACTIONER) |
| Authorized Official Contact | 2256476636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Clinic, Llc 214 S Burnside Ave Ste A Gonzales LA 70737-3463 Ph: (225) 647-6636 | Ascension Medical Clinic, Llc 214 S Burnside Ave Ste A Gonzales LA 70737-3463 Ph: (225) 647-6636 |
| NPI Number | 1104084938 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104084938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD09828R (Louisiana) | Primary |
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