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Breaux Bridge Mm Llc
Clinic/Center in Breaux Bridge, Louisiana
NPI 1831645191

Breaux Bridge Mm Llc is a Clinic/Center based in Lafayette, LA. Breaux Bridge Mm Llc practices in Breaux Bridge, LA. The NPI Number for Breaux Bridge Mm Llc is 1831645191 and holds a License No. (Louisiana).

The current practice location address for Breaux Bridge Mm Llc is 1451 E Bridge Street, Breaux Bridge, LA and can be reached out via phone at 337-456-6851 and via fax at 337-504-4798.

Location: 1451 E Bridge Street, Breaux Bridge, LA, 70503-3243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831645191
Provider Name
Breaux Bridge Mm Llc
Credential
Provider Entity Type
Organization
Address
1451 E Bridge Street, Breaux Bridge, LA, 70503-3243
Phone Number
337-456-6851
Fax Number
337-504-4798
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1490725 05 LA
institution
Provider Business Practice Location Address Details
Address
1451 E Bridge Street
City
Breaux Bridge
State
Louisiana
Zip
70517
Phone Number
337-456-6851
Fax Number
337-504-4798
person
Provider Business Mailing Address Details
Address
1451 E Bridge Street
City
Breaux Bridge
State
Louisiana
Zip
70517
Phone Number
337-456-6851
Fax Number
337-504-4798
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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