Centerwell Senior Primary Care (la) PC

NPI #1407564628 in Opelousas, Louisiana

Provider Information

NPI Number: 1407564628
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care (la) PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE (LA) PC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 7, 2022
Last Updated: Aug 22, 2024

Practice Location

Address: 1511 COMMERCE BLVD STE 6
City: Opelousas
State: Louisiana
ZIP Code: 70570-2063
Phone: (337) 381-2033

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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