| Gastroenterology Clinic Of Acadiana Llc | |
|
1211 Coolidge Blvd Suite 303 Lafayette LA 70503-2636 | |
| (337) 232-6697 | |
| (337) 232-3147 |
| Full Name | Gastroenterology Clinic Of Acadiana Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1211 Coolidge Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Stephen G Abshire (CEO) |
| Authorized Official Contact | 3372326697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Clinic Of Acadiana Llc 1211 Coolidge Blvd Suite 303 Lafayette LA 70503-2636 Ph: (337) 232-6697 | Gastroenterology Clinic Of Acadiana Llc 1211 Coolidge Blvd Suite 303 Lafayette LA 70503-2636 Ph: (337) 232-6697 |
| NPI Number | 1841363512 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 10/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841363512 | NPI | - | NPPES |
| 1443085 | Medicaid | LA | |
| 826013977 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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