| Vincent Internal Medicine, LLC | |
|
136 Tower Rd Crowley LA 70526-2211 | |
| (337) 783-4043 | |
| (337) 783-4053 |
| Full Name | Vincent Internal Medicine, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 136 Tower Rd, Crowley, Louisiana |
| Authorized Official Name and Position | Chad Allen Vincent (OWNER) |
| Authorized Official Contact | 3377834043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Internal Medicine, LLC Po Box 871 Crowley LA 70527-0871 Ph: (337) 783-4043 | Vincent Internal Medicine, LLC 136 Tower Rd Crowley LA 70526-2211 Ph: (337) 783-4043 |
| NPI Number | 1033162938 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033162938 | NPI | - | NPPES |
| 1057967 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 026400 (Louisiana) | Primary |
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