| Eric Fontenot,md, Internal Medicine Group,llc | |
|
1219 Coolidge Blvd Lafayette LA 70503-2620 | |
| (337) 233-4980 | |
| (337) 232-5159 |
| Full Name | Eric Fontenot,md, Internal Medicine Group,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1219 Coolidge Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Eric Paul Fontenot (PHYSICIAN) |
| Authorized Official Contact | 3372334980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Fontenot,md, Internal Medicine Group,llc 1219 Coolidge Blvd Lafayette LA 70503-2620 Ph: (337) 233-4980 | Eric Fontenot,md, Internal Medicine Group,llc 1219 Coolidge Blvd Lafayette LA 70503-2620 Ph: (337) 233-4980 |
| NPI Number | 1982032280 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 10/23/2013 |
| Medicare PECOS PAC ID | 8426285669 |
|---|---|
| Medicare Enrollment ID | O20131216000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982032280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 201186 (Louisiana) | Primary |
| Provider Name | Eric P Fontenot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437228657 PECOS PAC ID: 0345242251 Enrollment ID: I20070206000451 |
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