Provider Demographics
NPI:1740677103
Name:LA MEILLEURE SANTE MEDICAL GROUP LLC
Entity type:Organization
Organization Name:LA MEILLEURE SANTE MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOUYARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:504-444-7664
Mailing Address - Street 1:5409 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3905
Mailing Address - Country:US
Mailing Address - Phone:504-444-7664
Mailing Address - Fax:
Practice Address - Street 1:5409 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3905
Practice Address - Country:US
Practice Address - Phone:504-444-7664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty