OrganizationActive
Adult Medicine and Diagnostic Center
NPI 1902173271 · Clinic/Center · Gonzales, LA
Provider details
- NPI number
- 1902173271
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Hanna Vazquez, Office Manager
- License
- 022083 (LA)
Practice location
2211 S Burnside Ave Ste 4
Gonzales, LA 70737-4634
Phone: (225) 647-1947
Fax: (225) 644-3943
Mailing address
2211 S Burnside Ave Ste 4
Gonzales, LA 70737-4634
Registry dates
- Enumerated
- 2011-11-30
- Last updated
- 2016-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.