Centerwell Senior Primary Care (la) PC

NPI #1962276956 in Baker, Louisiana

Provider Information

NPI Number: 1962276956
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 9, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 6404 GROOM RD
City: Baker
State: Louisiana
ZIP Code: 70714-4364
Phone: (225) 614-9065

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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