| Family Practice Center Of Sulphur, Llc | |
|
2509 Maplewood Dr Sulphur LA 70663-6105 | |
| (337) 625-0341 | |
| (337) 625-0347 |
| Full Name | Family Practice Center Of Sulphur, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2509 Maplewood Dr, Sulphur, Louisiana |
| Authorized Official Name and Position | Vicki Fitkin (CLINIC MANAGER) |
| Authorized Official Contact | 3376250341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center Of Sulphur, Llc 2509 Maplewood Dr Sulphur LA 70663-6105 Ph: (337) 625-0341 | Family Practice Center Of Sulphur, Llc 2509 Maplewood Dr Sulphur LA 70663-6105 Ph: (337) 625-0341 |
| NPI Number | 1710188610 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 05/26/2020 |
| Medicare PECOS PAC ID | 3779575345 |
|---|---|
| Medicare Enrollment ID | O20040401001658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710188610 | NPI | - | NPPES |
| 1684643 | Medicaid | LA | |
| 1682969 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144221615 PECOS PAC ID: 2567504483 Enrollment ID: I20100114000819 |
| Provider Name | Brian W Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255331518 PECOS PAC ID: 5294727871 Enrollment ID: I20100331000980 |
Davies Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1114 Stelly Ln, Sulphur, LA 70663 Phone: 337-528-7316 Fax: 337-528-7884 | |
Maplewood Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3702 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-5459 Fax: 337-626-2045 | |
Calcasieu Family Physicians, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6530 Fax: 337-527-7337 | |
Sulphur Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3924 Maplewood Dr, Sulphur, LA 70663 Phone: 337-626-0078 Fax: 337-626-0330 | |
Grimball & Richert Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6301 Fax: 337-527-9194 | |
Community Health Center Of West Calcasieu Cameron Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Cypress St Ste A, Sulphur, LA 70663 Phone: 337-310-0395 Fax: 337-310-0392 | |
Imperial Health, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1327 Stelly Lane, Suite 3, Sulphur, LA 70663 Phone: 337-310-3670 Fax: 337-421-1408 |