NPI 1043691090

Neurotrac of Baton Rouge LLC

Organisation General Practice Physician Baton Rouge, LA

Practice location

Address: 10626 Linkwood CT Suite a, Baton Rouge, LA 70810-2965
Phone: (225) 205-0224
Mailing address: 10473 Old Hammond Highway, Baton Rouge, LA 70816

Authorised official

Name: Blain Bech
Title: Ceo
Phone: (225) 205-0224

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1043691090
Entity type: Organization
NPI issued: 16 Jun 2015
Record last updated: 16 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.