| Complete Family Care Of Avoyelles | |
|
4218 Highway 1192 Marksville LA 71351-4710 | |
| (318) 240-1959 | |
| (318) 240-1960 |
| Full Name | Complete Family Care Of Avoyelles |
|---|---|
| Speciality | Clinic/Center |
| Location | 4218 Highway 1192, Marksville, Louisiana |
| Authorized Official Name and Position | Dixie Guillot Broussard (OWNER) |
| Authorized Official Contact | 3373566011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Care Of Avoyelles Po Box 1140 Marksville LA 71351-1140 Ph: (318) 240-1959 | Complete Family Care Of Avoyelles 4218 Highway 1192 Marksville LA 71351-4710 Ph: (318) 240-1959 |
| NPI Number | 1689871196 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 10/18/2007 |
| Medicare PECOS PAC ID | 9739271479 |
|---|---|
| Medicare Enrollment ID | O20070824000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689871196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 200235 (Louisiana) | Primary |
| Provider Name | Dixie G Clement |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851517734 PECOS PAC ID: 7012009749 Enrollment ID: I20070824000755 |
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