Vincent D. Mallory Md., Llc

LBN: Vincent D. Mallory Md., Llc
Vincent D. Mallory Md., Llc is an health care organization with primary practice located at 3311 Prescott Rd Suite 316, Alexandria LA 71301-3900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Vincent D. Mallory Md., Llc can be contacted via phone (318) 487-1717, or through Mallory, Constance Fisher via phone (318) 487-1717.

Contact Information

Primary practice address
3311 Prescott Rd Suite 316 Alexandria LA 71301-3900
Phone: (318) 487-1717
Fax: (318) 487-1170
Website:
Map and Directions
Authorized official contact:
Name: Mallory, Constance Fisher
Phone: (318) 487-1717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1215201215
LBN Legal business name Vincent D. Mallory Md., Llc
DBA Doing business as
Authorized official Mallory, Constance Fisher
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2012
Last updated Mar 8th, 2012 - about 12 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 1215201215 NPPES
Louisiana MEDICAID 1574520
Louisiana Other 1215918503

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