Organization · Type 2 NPI
Bayou Telemedicine LLC
Clinic/Center · Monroe, LA
NPI number
1124645130
Active
Practice location
1703 Arizona Ave
Monroe, LA 71202-3632
Fax (800) 819-6261
Mailing address
PO Box 1221
Mansfield, TX 76063-1221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1124645130
Bayou Telemedicine LLC's National Provider Identifier is 1124645130, issued on Jun 26, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Monroe, LA. The record was last updated on Sep 11, 2020.