| Doc 4 Kids | |
|
1270 Attakapas Dr Ste 401 K Opelousas LA 70570-6549 | |
| (337) 407-0084 | |
| (337) 407-0094 |
| Full Name | Doc 4 Kids |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1270 Attakapas Dr Ste 401 K, Opelousas, Louisiana |
| Authorized Official Name and Position | Carmen Enid Koubicek (PRESIDENT) |
| Authorized Official Contact | 3374070084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc 4 Kids 1270 Attakapas Dr Ste 401 K Opelousas LA 70570-6549 Ph: (337) 407-0084 | Doc 4 Kids 1270 Attakapas Dr Ste 401 K Opelousas LA 70570-6549 Ph: (337) 407-0084 |
| NPI Number | 1902020019 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902020019 | NPI | - | NPPES |
| 1992855282 | Other | LA | INDIVIDUAL NPI |
| 1565911 | Medicaid | LA | |
| L#13448R | Other | LA | MED LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L#13448R (Louisiana) | Primary |
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