Whalio Doctors

NPI 1609566967

Delta Behavioral Health Services

Organisation Family Medicine Physician Bastrop, LA

Practice location

Address
4673 Eugene Ware Blvd, Bastrop, LA 71220-1425
Phone
(318) 281-2448
Fax
(866) 819-6912
Mailing address
414 Pine St, Monroe, LA 71201-6228

Authorised official

Name
Ashley Brock
Title
Director of Revenue
Phone
(318) 281-2448

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Registry record

NPI
1609566967
Entity type
Organization
NPI issued
10 May 2023
Record last updated
10 May 2023

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.