Whalio Doctors

NPI 1215369665

Minute Med-Johnston LLC

Organisation General Practice Physician Lafayette, LA

Practice location

Address
2912 Johnston Street, Lafayette, LA 70503
Phone
(337) 456-3519

Authorised official

Name
Brad Alan Boudreaux
Title
Owner
Phone
(337) 456-3519

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Registry record

NPI
1215369665
Entity type
Organization
NPI issued
7 Aug 2013
Record last updated
7 Aug 2013

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.