Zachary Pediatrics

LBN: Zachary Pediatrics
Zachary Pediatrics is an health care organization with primary practice located at 4851 W Park Dr Suite A, Zachary LA 70791-4010. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Zachary Pediatrics can be contacted via phone (225) 658-7636, or through Santos-Mata, Elenita P via phone (225) 658-7636.

Contact Information

Primary practice address
4851 W Park Dr Suite A Zachary LA 70791-4010
Phone: (225) 658-7636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santos-Mata, Elenita P Doctor of Medicine (MD)
Phone: (225) 658-7636

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 07399R Louisiana

Profile Details

NPI number 1194986893
LBN Legal business name Zachary Pediatrics
DBA Doing business as
Authorized official Santos-Mata, Elenita P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 2008 - about 17 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 1194986893 NPPES
Louisiana MEDICAID 1372617

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