| Organization Name: | MDHPX, LLC |
| NPI Number: | 1306096854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTINA G LANDRY (CO-OWNER) |
| Mailing Address: | 1257 Mayeauxville Rd Ville Platte |
| State: | LA US |
| Postal Code: | 705868409 |
| Phone Number: | 3373630456 |
| Fax Number: | 3373632489 |
| NPI Enumeration Date: | 09/21/2008 |
| NPI Last Update Date: | 09/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 05182 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |