Metairie Total Wellness Clinic, LLC
Family Medicine, Adult Medicine in Metairie, LA. Organization (NPI-2).
NPI number1356830251
StatusActive
Last updated in NPPESMay 7, 2018
Details
- NPI
- 1356830251
- Entity type
- Organization (NPI-2)
- Legal business name
- Metairie Total Wellness Clinic, LLC
- Organization subpart
- Yes
- Enumeration date
- May 7, 2018
- Last updated
- May 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
1813 Veterans Memorial Blvd Ste BMetairie, LA 70005-2637
Phone 800-246-5698
Mailing address
5000 Eldorado Pkwy Ste 150-153Frisco, TX 75033-8695
Authorized official
Salvatore Campo
DO / Physician
2147145343
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