Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Morehouse Internal Medicine Clinic

Organization Medical Physician Assistant · NPI 1063796571

Morehouse Internal Medicine Clinic is a Medical Physician Assistant in Bastrop, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.

Licensed in
LA
In the registry since
2011

Practice location Address checks out

420 Gunby Ave
Bastrop, LA 71220-4406
Phone: (318) 812-4663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence A10630RX (LA)

Record details

NPI number1063796571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Hernandez — Physician Assistant · (318) 812-4663
NPI enumeratedOctober 3, 2011
Last updated in NPPESOctober 3, 2011
Mailing address420 Gunby Ave, Bastrop, LA 71220-4406

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