| Cordova Family Medicine Llc | |
|
2 Medical Plaza Pl Minden LA 71055-3330 | |
| (318) 377-6500 | |
| (318) 377-6503 |
| Full Name | Cordova Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Medical Plaza Pl, Minden, Louisiana |
| Authorized Official Name and Position | Fredy H Cordova (OWNER) |
| Authorized Official Contact | 3183776500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordova Family Medicine Llc 2 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-6500 | Cordova Family Medicine Llc 2 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-6500 |
| NPI Number | 1215233895 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 01/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215233895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 204318 (Louisiana) | Primary |
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