Family Doctor Of Natchitoches, Inc. | |
615 Bienville St Natchitoches LA 71457-5730 | |
(318) 352-6800 | |
(318) 352-6803 |
Full Name | Family Doctor Of Natchitoches, Inc. |
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Speciality | Family Medicine |
Location | 615 Bienville St, Natchitoches, Louisiana |
Authorized Official Name and Position | John E Hogg (OWNER) |
Authorized Official Contact | 3183526800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Doctor Of Natchitoches, Inc. 615 Bienville St Natchitoches LA 71457-5730 Ph: (318) 352-6800 | Family Doctor Of Natchitoches, Inc. 615 Bienville St Natchitoches LA 71457-5730 Ph: (318) 352-6800 |
NPI Number | 1770682304 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 3173601069 |
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Medicare Enrollment ID | O20080417000373 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770682304 | NPI | - | NPPES |
1555037 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Louisiana) | Primary |
Provider Name | John Hogg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760488969 PECOS PAC ID: 3173574621 Enrollment ID: I20080417000363 |
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John P. Harris M.d Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Bienville St Ste 2, Natchitoches, LA 71457 Phone: 318-356-0555 Fax: 318-356-0660 | |
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