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NPI Code Detail

MEDICARE: SPRINGER FAMILY MEDICAL CLINIC LLC

MEDICARE: SPRINGER FAMILY MEDICAL CLINIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist023883LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
25CF97OTHERLAMEDICARE GROUP
45A676OTHERLAMEDICARE IND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3436596843BOTHERLABLUE CROSS IND.

General Provider Information

NPI Number : 1245429273
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGER FAMILY MEDICAL CLINIC LLC
Provider Business Mailing Address
First Line : 601 DR. MICHEAL DEBAKEY DR.
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-5815
Country : US
Telephone Number : 337-436-1370
Fax Number : 337-436-1621
Provider Business Practice Location Address
First Line : 601 DR. MICHEAL DEBAKEY
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-5815
Country : US
Telephone Number : 337-436-1370
Fax Number : 337-436-1621
Authorized Official
Title or Position : M.D.
Name : DR. STEVE F. SPRINGER
Credential : M.D.
Telephone Number : 337-436-1370
Provider Enumeration Date : 10/16/2007
Last Update Date : 01/14/2010

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Directions to “SPRINGER FAMILY MEDICAL CLINIC LLC ” Practice Location

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