Organization

Teche Action Board, Inc.

May also be knows as Teche Action Clinic @ Morgan City

Clinic/Center in Morgan City, LA(View on Map)

Legal Business Name

Teche Action Board, Inc.

Also Known As

Teche Action Clinic @ Morgan City

NPI Number

1396121117

NPI Type

Organization

Enumeration Date

08/04/2015

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

04402470N

Contact
Information

Purpose

Mailing
Location

Address

1115 WEBER ST
1124 7TH ST

City

Franklin
Morgan City

State

LA
LA

Postal Code

70538-4124
70380-1951

Country

US
US

Telephone Number

(337) 828-2550
(985) 384-2371

Authorized Official

Name

Dr. Gary Wiltz

Title or Position

CEO

Telephone Number

(337) 828-2550

Identifiers

Identifier

2399560
5B803

Identifier State

LA
LA

Identifier Issuer

Unknown
MEDICARE PART B

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/12/2023

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