MOREHOUSE INTERNAL MEDICINE CLINIC
NPI 1063796571
Physician Assistant - Medical in Bastrop, LA

Active since October 03, 2011
420 GUNBY AVE, BASTROP, LA 71220(318) 812-4663 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Morehouse Internal Medicine Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOREHOUSE INTERNAL MEDICINE CLINIC (NPI 1063796571) is a healthcare organization registered as a medical in Bastrop, Louisiana and active in the NPI registry since October 2011. The organization lists Carlos Hernandez, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1063796571
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameMOREHOUSE INTERNAL MEDICINE CLINIC
Location Address420 GUNBY AVEBastrop, LA 71220-4406
Mailing Address420 Gunby AveBastrop, LA 71220-4406
Organization SubpartNo
Authorized OfficialCarlos HernandezPhysician Assistant · (318) 812-4663
Enumeration DateOctober 3, 2011
NPI 1063796571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in LA · A10630RX
420 GUNBY AVE, Bastrop, LA 71220

Other Identifiers 3

Medicare PIN5D594P610LA
Medicare UPINQ28305LA
Medicaid1625892LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
420 GUNBY AVE
BASTROP, LA 71220
Nurse Practitioner (Psychiatric/Mental Health)
420 GUNBY AVE
BASTROP, LA 71220
Internal Medicine
420 GUNBY AVE
BASTROP, LA 71220
Clinic/Center (Rural Health)
420 GUNBY AVE
BASTROP, LA 71220
Physician Assistant (Medical)
420 GUNBY AVE
BASTROP, LA 71220
Nurse Practitioner (Family)
420 GUNBY AVE
BASTROP, LA 71220
Physician Assistant (Medical)
420 GUNBY AVE
BASTROP, LA 71220
Internal Medicine
420 GUNBY AVE
BASTROP, LA 71220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Morehouse Internal Medicine Clinic's NPI number?

The NPI number for Morehouse Internal Medicine Clinic is 1063796571. It was assigned to this organization in the NPPES registry on October 3, 2011.

Where is Morehouse Internal Medicine Clinic located?

Morehouse Internal Medicine Clinic is located at 420 Gunby Ave, Bastrop, LA 71220. The listed phone number is (318) 812-4663.

What is Morehouse Internal Medicine Clinic's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Morehouse Internal Medicine Clinic was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.