OrganizationActive
Ascension Medical Clinic, LLC
NPI 1104084938 · General Practice Physician · Gonzales, LA
Provider details
- NPI number
- 1104084938
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Holmes, General Practioner(225) 647-6636
- License
- MD09828R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
214 S Burnside Ave Ste a
Gonzales, LA 70737-3463
Phone: (225) 647-6636
Fax: (225) 647-3849
Approximate (ZIP-level) locationGet directions
Mailing address
214 S Burnside Ave Ste a
Gonzales, LA 70737-3463
Registry dates
- Enumerated
- 2008-05-29
- Last updated
- 2008-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.