institution
Martin Aviles Md A Professional Medical Corporation
Medical Specialty Clinic/Center in Natchitoches, Louisiana
NPI 1679645071

Martin Aviles Md A Professional Medical Corporation is a Medical Specialty Clinic/Center based in Natchitoches, LA and is specialized in Medical Specialty. Martin Aviles Md A Professional Medical Corporation practices in Natchitoches, LA. The NPI Number for Martin Aviles Md A Professional Medical Corporation is 1679645071 and holds a License No. 13567R (Louisiana).

The current practice location address for Martin Aviles Md A Professional Medical Corporation is 627 Bienville Cir, Natchitoches, LA and can be reached out via phone at 318-352-9595 and via fax at 318-352-9818. You can also correspond with Martin Aviles Md A Professional Medical Corporation through the mailing address at 627 BIENVILLE CIR, NATCHITOCHES, LA - 71457-5744 (mailing address contact number: 318-352-9595).

Location: 627 Bienville Cir, Natchitoches, LA, 71457-5744
institution
Provider Profile Details
NPI Number
1679645071
Provider Name
Martin Aviles Md A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
627 Bienville Cir, Natchitoches, LA, 71457-5744
Phone Number
318-352-9595
Fax Number
318-352-9818
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5DF29 01 LA GROUP NPI MEDICARE PIN/PTAN
5H631DF29 01 LA MEDICARE GROUP 'MEMBER' PIN/PTAN
1417952102 01 LA INDIVIDUAL PROVIDER NPI #
1529877 01 LA MEDICAID GROUP PROVIDER ID
DT5115 01 LA MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
627 Bienville Cir
City
State
Zip
71457-5744
Phone Number
318-352-9595
Fax Number
318-352-9818
person
Provider Business Mailing Address Details
Address
627 Bienville Cir
City
State
Zip
71457-5744
Phone Number
318-352-9595
Fax Number
318-352-9818
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
13567R (Louisiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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