Healthcare Provider Details

I. General information

NPI: 1215501283
Provider Name (Legal Business Name): TOETAL CARE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2021
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 CHRISTIAN DR
RAYVILLE LA
71269-3658
US

IV. Provider business mailing address

161 CHRISTIAN DR
RAYVILLE LA
71269-3658
US

V. Phone/Fax

Practice location:
  • Phone: 318-237-6885
  • Fax:
Mailing address:
  • Phone: 318-661-3030
  • Fax: 318-661-3032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: ANGELA CLARK GILL
Title or Position: FAMILY NURSE PRACTITIONER/OWNER
Credential: FNP-C
Phone: 318-661-3030