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

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone 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.