Provider Demographics
NPI:1508396581
Name:IN AND OUT URGENT CARE OF METAIRIE, LLC
Entity Type:Organization
Organization Name:IN AND OUT URGENT CARE OF METAIRIE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUZAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:504-323-5824
Mailing Address - Street 1:720 OAK HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-8223
Mailing Address - Country:US
Mailing Address - Phone:504-323-5824
Mailing Address - Fax:504-323-5758
Practice Address - Street 1:100 N LABARRE RD STE C
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-7214
Practice Address - Country:US
Practice Address - Phone:504-827-1717
Practice Address - Fax:504-323-5758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care