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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN PEDIATRIC CLINIC

Active Organization

SOUTHERN PEDIATRIC CLINIC is a Health Service Clinic organization located in OAKDALE, Louisiana. NPI 1104296417 is currently active in the NPPES registry. Verify at CMS.

Health Service Clinic · OAKDALE, LA

Registration Details

NPI Number
1104296417
Provider Type
Organization
NPI Issued
Sep 29, 2015 (10.919264503784 yrs)
Last Updated
Nov 3, 2015
License
MD12866R (LA)

Practice Information

Address
905 E 7TH AVE
SUITE 9
OAKDALE, LA, 714632797
Browse LA providers · Browse ZIP 71463
Phone
3182158150
Fax
3182158151
Primary Specialty
Health Service Clinic
261QH0100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.