Organization · Type 2 NPI
Cardiology Clinic of Deridder
Clinic/Center · Deridder, LA
NPI number
1962690222
Active
Practice location
101 W 6th St
Deridder, LA 70634-4963
Mailing address
PO Box 271962
Houston, TX 77277-1962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 12663R (LA) |
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).
Another provider at this address
Other clinic/center providers in Deridder
About NPI 1962690222
Cardiology Clinic of Deridder's National Provider Identifier is 1962690222, issued on Oct 11, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Deridder, LA. The record was last updated on Jul 19, 2019.