| Pediatric Group Of Acadiana Llc | |
|
2825 Grand Point Hwy Lot 6 Henderson LA 70517-6972 | |
| (337) 454-6238 | |
| (337) 408-1198 |
| Full Name | Pediatric Group Of Acadiana Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2825 Grand Point Hwy Lot 6, Henderson, Louisiana |
| Authorized Official Name and Position | Antoinette Rabenaldt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3373302576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Group Of Acadiana Llc 302 Hacker St New Iberia LA 70560-4508 Ph: (337) 330-2576 | Pediatric Group Of Acadiana Llc 2825 Grand Point Hwy Lot 6 Henderson LA 70517-6972 Ph: (337) 454-6238 |
| NPI Number | 1336965508 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336965508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |