NPI: 1275716078 · MARINGOUIN, LA 70757 · Primary Care Clinic/Center · NPI assigned 12/14/2007
| Authorized Official | BERTRAND, KELLIE (OWNER) |
| NPI Enumeration Date | 12/14/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 25 | 12 | $2K |