Morehouse Internal Medicine Clinic

NPI #1063796571 in Bastrop, Louisiana

Provider Information

NPI Number
1063796571
Entity Type
Organization
Organization Name
Morehouse Internal Medicine Clinic
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Oct 3, 2011
Last Updated
Oct 3, 2011

Practice Location

Address
420 GUNBY AVE
ZIP Code
71220-4406
Phone
(318) 812-4663

Authorized Official

Name
MR. CARLOS HERNANDEZ, PA-C
Title
PHYSICIAN ASSISTANT
Phone
(318) 812-4663

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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