| Family Medical Clinic | |
|
740 Keyser Ave Suite A Natchitoches LA 71457-6037 | |
| (318) 352-2971 | |
| Not Available |
| Full Name | Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 740 Keyser Ave, Natchitoches, Louisiana |
| Authorized Official Name and Position | Bryan Anthony Picou (OWNER) |
| Authorized Official Contact | 3183522971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic 740 Keyser Ave Suite A Natchitoches LA 71457-6037 Ph: (318) 352-2971 | Family Medical Clinic 740 Keyser Ave Suite A Natchitoches LA 71457-6037 Ph: (318) 352-2971 |
| NPI Number | 1962574111 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962574111 | NPI | - | NPPES |
| 1001236 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Louisiana) | Primary |
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