Premier Pediatrics

LBN: Premier Pediatrics
Premier Pediatrics is an health care organization with primary practice located at 1405 Metro Dr Bldg L, Alexandria LA 71301-3448. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Premier Pediatrics can be contacted via phone (318) 767-1543, or through Clark, John L via phone (318) 767-1543.

Contact Information

Primary practice address
1405 Metro Dr Bldg L Alexandria LA 71301-3448
Phone: (318) 767-1543
Fax: (318) 767-1110
Website:
Map and Directions
Authorized official contact:
Name: Clark, John L Doctor of Medicine (MD)
Phone: (318) 767-1543

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD021955 Louisiana

Profile Details

NPI number 1376527143
LBN Legal business name Premier Pediatrics
DBA Doing business as
Authorized official Clark, John L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376527143 NPPES
Louisiana MEDICAID 1682136

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