Julio E. Iglesias,m.D. A Professional Medical Corp
Clinic/Center in Winnfield, LA(View on Map)
Legal Business Name
Julio E. Iglesias,m.D. A Professional Medical Corp
NPI Number
1255503082
NPI Type
Organization
Enumeration Date
04/01/2008
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
05638R
Contact
Information
Purpose
Mailing
Location
Address
301 W BOUNDARY AVE
301 W BOUNDARY AVE
City
Winnfield
Winnfield
State
LA
LA
Postal Code
71483-3427
71483-3427
Country
US
US
Telephone Number
(318) 628-2108
(318) 628-2108
Authorized Official
Name
Dr. Julio Iglesias
Title or Position
PRESIDENT/M.D.
Telephone Number
(318) 628-2108
Identifiers
Identifier
1205213510
02000158
1317519
Identifier State
LA
GA
LA
Identifier Issuer
BLUE CROSS OF LOUISIANA
MC UNITED HEALTHCARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/05/2010
Provider Address
Other Clinic/Center in Winnfield, Louisiana: