NPI Profile for EVANGELINE CLINICAL SERVICES INC in MAMOU, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine |
| NPI Number | 1235510280 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/16/2015 | |
| Last updated | 06/16/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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EVANGELINE CLINICAL SERVICES, INC.
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