Organization Name: | MINDEN PHYSICIAN PRACTICES LLC |
NPI Number: | 1023449212 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESS JUDY (PRESIDENT) |
Mailing Address: | 101 Murrell St Ste 1 Minden |
State: | LA US |
Postal Code: | 710553410 |
Phone Number: | 3183775000 |
Fax Number: | 3183775111 |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |