| Segura Family Medicine | |
|
1636 Elton Rd Ste 204 Jennings LA 70546-3648 | |
| (337) 654-0871 | |
| (337) 896-8324 |
| Full Name | Segura Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1636 Elton Rd Ste 204, Jennings, Louisiana |
| Authorized Official Name and Position | John Patrick Segura (OWNER) |
| Authorized Official Contact | 3376540871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Segura Family Medicine 1636 Elton Rd Ste 204 Jennings LA 70546-3648 Ph: (337) 654-0871 | Segura Family Medicine 1636 Elton Rd Ste 204 Jennings LA 70546-3648 Ph: (337) 654-0871 |
| NPI Number | 1528379351 |
|---|---|
| Provider Enumeration Date | 06/26/2010 |
| Last Update Date | 06/26/2010 |
| Medicare PECOS PAC ID | 0648304055 |
|---|---|
| Medicare Enrollment ID | O20100819000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528379351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.202491 (Louisiana) | Primary |
| Provider Name | John Patrick Segura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376742460 PECOS PAC ID: 5092849406 Enrollment ID: I20100915000785 |
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