| Patricia C Estrada MD, APMC | |
|
1111 Medical Center Blvd Suite 340 Marrero LA 70072-3151 | |
| (504) 341-0906 | |
| (504) 349-3389 |
| Full Name | Patricia C Estrada MD, APMC |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Medical Center Blvd, Marrero, Louisiana |
| Authorized Official Name and Position | Patricia C Estrada (OWNER) |
| Authorized Official Contact | 5043410906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia C Estrada MD, APMC 1111 Medical Center Blvd Suite 340 Marrero LA 70072-3151 Ph: (504) 341-0906 | Patricia C Estrada MD, APMC 1111 Medical Center Blvd Suite 340 Marrero LA 70072-3151 Ph: (504) 341-0906 |
| NPI Number | 1295800019 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0143248096 |
|---|---|
| Medicare Enrollment ID | O20051109000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295800019 | NPI | - | NPPES |
| 1911402 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Louisiana) | Primary |
| Provider Name | Patricia C Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316143308 PECOS PAC ID: 5395763254 Enrollment ID: I20101214000319 |
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