AMANDA M DECOUX

CLARK INTEGRATED MEDICAL CLINICS LLC

Dr AMANDA M DECOUX is a female medical professional, specializing in Physician Assistant. She graduated in 2018.

Contact

CLARK INTEGRATED MEDICAL CLINICS LLC

130 RUE BEAUREGARD
SUITE A
LAFAYETTE
LA
705083130

Tel: 3372323353

AMANDA M DECOUX Information

Npi 1396226155
Pac Id 1850635988
Professional Enrollment Id I20181130000922
Last Name DECOUX
First Name AMANDA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CLARK INTEGRATED MEDICAL CLINICS LLC
Group Practice Pac Id 8022372598
Number Of Group Practice Members 5
Line 1 Street Address 130 RUE BEAUREGARD
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City LAFAYETTE
State LA
Zip Code 705083130
Phone Number 3372323353
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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