institution
Morehouse Internal Medicine Clinic
Medical Physician Assistant in Bastrop, Louisiana
NPI 1063796571

Morehouse Internal Medicine Clinic is a Medical Physician Assistant based in Bastrop, LA and is specialized in Medical. Morehouse Internal Medicine Clinic practices in Bastrop, LA. The NPI Number for Morehouse Internal Medicine Clinic is 1063796571 and holds a License No. A10630RX (Louisiana).

The current practice location address for Morehouse Internal Medicine Clinic is 420 Gunby Ave, Bastrop, LA and can be reached out via phone at 318-812-4663.

Location: 420 Gunby Ave, Bastrop, LA, 71220-4406
institution
Provider Profile Details
NPI Number
1063796571
Provider Name
Morehouse Internal Medicine Clinic
Credential
Provider Entity Type
Organization
Address
420 Gunby Ave, Bastrop, LA, 71220-4406
Phone Number
318-812-4663
Fax Number
Provider Enumeration Date
10/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1625892 05 LA
institution
Provider Business Practice Location Address Details
Address
420 Gunby Ave
City
State
Zip
71220-4406
Phone Number
318-812-4663
Fax Number
person
Provider Business Mailing Address Details
Address
420 Gunby Ave
City
State
Zip
71220-4406
Phone Number
318-812-4663
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A10630RX (Louisiana)
Definition
Definition to come...
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