NPI 1659614865

Extremity Cma, LLC

Organisation Health Maintenance Organization Ville Platte, LA

Practice location

Address: 2878 Tate Cove Rd, Ville Platte, LA 70586-6311
Phone: (337) 363-1237
Fax: (337) 363-1384

Authorised official

Name: Chenile Tezeno
Title: Owner
Phone: (337) 363-1237

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence CM 27068 (LA)

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Registry record

NPI: 1659614865
Entity type: Organization
NPI issued: 5 Apr 2013
Record last updated: 5 Apr 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.