Moss Bluff Medical Clinic

LBN: Sandra D.M. Bruno, M.D., Llc
Moss Bluff Medical Clinic is an health care organization with primary practice located at 217 Sam Houston Jones Pkwy Suite 101, Lake Charles LA 70611-5603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Sandra D.M. Bruno, M.D., Llc can be contacted via phone (337) 217-1000, or through Bruno, Sandra D via phone (337) 217-1000.

Contact Information

Primary practice address
217 Sam Houston Jones Pkwy Suite 101 Lake Charles LA 70611-5603
Phone: (337) 217-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bruno, Sandra D Doctor of Medicine (MD)
Phone: (337) 217-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 020956 Louisiana

Profile Details

NPI number 1295868024
LBN Legal business name Sandra D.M. Bruno, M.D., Llc
DBA Doing business as Moss Bluff Medical Clinic
Authorized official Bruno, Sandra D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295868024 NPPES
Louisiana MEDICAID 1677027

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