Provider Demographics
NPI:1306096854
Name:MDHPX, LLC
Entity type:Organization
Organization Name:MDHPX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:337-363-0456
Mailing Address - Street 1:1257 MAYEAUXVILLE RD
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-8409
Mailing Address - Country:US
Mailing Address - Phone:337-363-0456
Mailing Address - Fax:337-363-2489
Practice Address - Street 1:1257 MAYEAUXVILLE RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-8409
Practice Address - Country:US
Practice Address - Phone:337-363-0456
Practice Address - Fax:337-363-2489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-21
Last Update Date:2008-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05182363LA2200X
LA04414363LF0000X
LA023604207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty