| Diabetes & Obesity Control Llc | |
|
176 Longville Church Rd Longville LA 70652-5036 | |
| (337) 564-6605 | |
| (337) 433-3013 |
| Full Name | Diabetes & Obesity Control Llc |
|---|---|
| Speciality | General Practice |
| Location | 176 Longville Church Rd, Longville, Louisiana |
| Authorized Official Name and Position | Kathy L Tracy (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3375646605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Obesity Control Llc 176 Longville Church Rd Longville LA 70652-5036 Ph: (337) 564-6605 | Diabetes & Obesity Control Llc 176 Longville Church Rd Longville LA 70652-5036 Ph: (337) 564-6605 |
| NPI Number | 1841642717 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Medicare PECOS PAC ID | 4486933553 |
|---|---|
| Medicare Enrollment ID | O20161111001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841642717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kathy Tracy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942255070 PECOS PAC ID: 6204890130 Enrollment ID: I20041119000028 |
South Beauregard Health Center, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12186 Highway 171, Longville, LA 70652 Phone: 337-462-7106 Fax: 337-462-7479 | |
Beauregard Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12186 Highway 171, Longville, LA 70652 Phone: 337-226-5301 |