Healthcare Provider Details

I. General information

NPI: 1134409337
Provider Name (Legal Business Name): PATIENTS FIRST CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 01/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19115 FLORIDA BLVD SUITE A
ALBANY LA
70711-3701
US

IV. Provider business mailing address

19115 FLORIDA BLVD SUITE A
ALBANY LA
70711-3701
US

V. Phone/Fax

Practice location:
  • Phone: 225-567-7150
  • Fax: 225-567-7120
Mailing address:
  • Phone: 225-567-7150
  • Fax: 225-567-7120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MALINDA T. BALADO
Title or Position: OWNER/PROVIDER
Credential: FNP-BC
Phone: 985-507-6642