Organization · Type 2 NPI

Breaux Bridge MM LLC

Clinic/Center · Breaux Bridge, LA

NPI number 1831645191 Active

Practice location

1451 E Bridge Street
Breaux Bridge, LA 70517

Fax (337) 504-4798

Mailing address

2851 Johnston St, Pmb 299
Lafayette, LA 70503-3243

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 1831645191

Breaux Bridge MM LLC's National Provider Identifier is 1831645191, issued on Aug 28, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Breaux Bridge, LA. The record was last updated on Aug 28, 2016.