NPI 1093744146

Medical & Surgical Clinic a Medical

Organisation Family Medicine Physician Vivian, LA

Practice location

Address: 1003 South Spruce St, Vivian, LA 71082-3200
Phone: (318) 375-3239
Fax: (318) 375-2755

Authorised official

Name: Pamela R. Hughes
Title: Administrator
Phone: (318) 375-3239

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Louisiana →

Registry record

NPI: 1093744146
Entity type: Organization
NPI issued: 1 Jul 2006
Record last updated: 4 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.