| Southeastern Louisiana Univerisity | |
|
800 Galloway Dr Dugas Center Hammond LA 70402-0001 | |
| (985) 549-5133 | |
| (972) 367-3451 |
| Full Name | Southeastern Louisiana Univerisity |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Galloway Dr, Hammond, Louisiana |
| Authorized Official Name and Position | John Irwin (ASST. DIRECTOR FOR SPORTS MEDICINE) |
| Authorized Official Contact | 9855495133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Louisiana Univerisity Po Box 650850 Dept. 1011 Dallas TX 75265-0850 Ph: (800) 555-9073 | Southeastern Louisiana Univerisity 800 Galloway Dr Dugas Center Hammond LA 70402-0001 Ph: (985) 549-5133 |
| NPI Number | 1780075499 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780075499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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