Provider Demographics
NPI:1881710952
Name:WOMEN'S HEALTH CARE OF MONROE
Entity type:Organization
Organization Name:WOMEN'S HEALTH CARE OF MONROE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-323-2244
Mailing Address - Street 1:3408 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2354
Mailing Address - Country:US
Mailing Address - Phone:318-323-2244
Mailing Address - Fax:318-387-9595
Practice Address - Street 1:3408 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2354
Practice Address - Country:US
Practice Address - Phone:318-323-2244
Practice Address - Fax:318-387-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA010503174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA11070194Medicaid
LAB65637Medicare UPIN
LA55161Medicare ID - Type Unspecified