| NPI | 1083648018 |
|---|---|
| Doing Business As | GULF REGIONAL OCCMED & WALK IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | MYRIAM D HUTCHINSON Manager/Owner 337-422-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA M.D.012239) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.012239) |
| 207R00000X Internal Medicine (Licence: LA MD.012239) | |
| 363AM0700X Physician Assistant, Medical (Licence: LA PA.A20081.RX) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-06-24 |