Whalio Doctors

NPI 1245964931

Clhg-Ruston LLC

Organisation General Practice Physician Ruston, LA

Practice location

Address
401 E Vaughn Ave, Ruston, LA 71270-5950
Phone
(318) 254-2100

Authorised official

Name
Rock Matthew Bordelon
Title
Owner
Phone
(318) 629-3269

Registered specialties (4)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Pulmonary Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RP1001X
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Registry record

NPI
1245964931
Entity type
Organization
NPI issued
11 Jul 2022
Record last updated
6 Sep 2022

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.