Organization · Type 2 NPI
Metairie Total Wellness Clinic, LLC
Adult Medicine Physician · Metairie, LA
NPI number
1356830251
Active
Practice location
1813 Veterans Memorial Blvd Ste B
Metairie, LA 70005-2637
Mailing address
5000 Eldorado Pkwy Ste 150-153
Frisco, TX 75033-8695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1356830251
Metairie Total Wellness Clinic, LLC's National Provider Identifier is 1356830251, issued on May 7, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Metairie, LA. The record was last updated on May 7, 2018.