Healthcare Provider Details

I. General information

NPI: 1407372295
Provider Name (Legal Business Name): FLEXHEALTH CONVENIENT CARE , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17511 WISDOM DR
BAKER LA
70714-1527
US

IV. Provider business mailing address

17511 WISDOM DR
BAKER LA
70714-1527
US

V. Phone/Fax

Practice location:
  • Phone: 225-335-2980
  • Fax:
Mailing address:
  • Phone: 225-335-2980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OREAL PERKINS
Title or Position: OWNER/ PROVIDER
Credential: NP
Phone: 225-335-2980