| Davenport Family Medical Clinic Llc | |
|
101 W 6th St Deridder LA 70634-4963 | |
| (337) 460-0690 | |
| (337) 460-0961 |
| Full Name | Davenport Family Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 W 6th St, Deridder, Louisiana |
| Authorized Official Name and Position | Pearre Jones Davenport (OWNER) |
| Authorized Official Contact | 3374600690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Family Medical Clinic Llc 101 W 6th St Deridder LA 70634-4963 Ph: (337) 460-0690 | Davenport Family Medical Clinic Llc 101 W 6th St Deridder LA 70634-4963 Ph: (337) 460-0690 |
| NPI Number | 1063642114 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 07/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063642114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Imperial Health Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W 5th St, Deridder, LA 70634 Phone: 337-202-7850 | |
Beauregard Medical And Surgical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Washington St, Deridder, LA 70634 Phone: 337-462-7409 Fax: 337-462-7479 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Kufoy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 S Pine St, Deridder, LA 70634 Phone: 337-463-3500 Fax: 337-463-3526 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Family Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Highway 190 W, Deridder, LA 70634 Phone: 337-855-9023 Fax: 337-855-1829 |