| Organization Name: | DREW OUTPATIENT CLINIC, LLC |
| NPI Number: | 1003960535 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY N. EPPINETTE (OFFICE MANAGER,CO-OWNER) |
| Mailing Address: | 1117 Cheniere Drew Rd West Monroe |
| State: | LA US |
| Postal Code: | 712918551 |
| Phone Number: | 3183294370 |
| Fax Number: | 3183294356 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 018471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |