Delta Medical Practices, L.l.c.

NPI #1871732669 in Bastrop, Louisiana

Provider Information

NPI Number
1871732669
Entity Type
Organization
Organization Name
Delta Medical Practices, L.l.c.
Primary Specialty
Internal Medicine
Enumeration Date
Feb 18, 2009
Last Updated
Feb 18, 2009

Practice Location

Address
510 S WASHINGTON ST
ZIP Code
71220-5033
Phone
(318) 556-3333

Authorized Official

Name
CHARLES GOODWIN GLADNEY JR.
Title
MANAGER
Phone
(318) 281-0078

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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