Provider Demographics
NPI:1558791558
Name:MEDICAL PRACTICE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:MEDICAL PRACTICE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THAO
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-893-6080
Mailing Address - Street 1:71380 HIGHWAY 21
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7245
Mailing Address - Country:US
Mailing Address - Phone:985-893-6080
Mailing Address - Fax:985-893-6090
Practice Address - Street 1:71380 HIGHWAY 21
Practice Address - Street 2:SUITE 104
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7245
Practice Address - Country:US
Practice Address - Phone:985-893-6080
Practice Address - Fax:985-893-6090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management