| Organization Name: | ACUTE CARE CLINIC |
| NPI Number: | 1144495334 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AYANNA A ALVEREZ (DIRECTOR) |
| Mailing Address: | 205 Hermitage Dr Thibodaux |
| State: | LA US |
| Postal Code: | 703012914 |
| Phone Number: | 9854480827 |
| Fax Number: | 9854480822 |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | MD06503R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |