Southside Pediatrics. A.p.m.c.

NPI #1609334390 in Broussard, Louisiana

Provider Information

NPI Number: 1609334390
Entity Type: Organization
Organization Name: Southside Pediatrics. A.p.m.c.
Primary Specialty: Pediatrics
Enumeration Date: Mar 12, 2019
Last Updated: Mar 12, 2019

Practice Location

Address: 811 ALBERTSON PKWY STE A
City: Broussard
State: Louisiana
ZIP Code: 70518-5256
Phone: (337) 839-2238

Authorized Official

Name: DR. CARLOS BRUNO, MD
Title: PRESIDENT
Phone: (337) 839-2238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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