Moss Street Medical Clinic Inc
Moss Street Medical Clinic Inc provides Medical Physician Assistant services in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1417 Moss StLafayette, LA 70501-3654
Phone: (337) 232-3371
Fax: (337) 232-3511
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence A10226 (LA) |
|---|
Record details
| NPI number | 1417085192 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rickie Johnson — Owner · (337) 232-3371 |
| NPI enumerated | March 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1417 Moss St, Lafayette, LA 70501-3654 |
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