Coastal Foot Clinic Inc
Organization Active NPI Podiatrist · New Roads, LA
NPI 1487829842 · NPPES record last updated May 29, 2015
Key facts
- NPI
- 1487829842
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- PD165R (LA)
- Legal business name
- COASTAL FOOT CLINIC INC
- Practice address
- 230 Roberts Dr
Suite G
New Roads, LA 70760-2661 - Phone
- (225) 638-6640
- Fax
- (225) 618-0863
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Richard Palecki, DPM
- Title
- Owner
- Phone
- (225) 718-5314
National Provider Directory
Locations
230 Roberts Dr
Ste G
New Roads, LA 70760
Phone (225) 638-6640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | PD165R | LA | Yes |
Addresses
Primary practice location
230 Roberts Dr
Suite G
New Roads, LA 70760-2661
Mailing address
PO Box 575
Livonia, LA 70755-0575
Phone (225) 718-5314
Other providers in New Roads, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.