| Goux Family Medicine Ctr Llc | |
|
4239 Highway 1192 Suite 100 Marksville LA 71351-4711 | |
| (318) 253-7511 | |
| (318) 253-7513 |
| Full Name | Goux Family Medicine Ctr Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4239 Highway 1192, Marksville, Louisiana |
| Authorized Official Name and Position | Vincent Paul Goux (OWNER) |
| Authorized Official Contact | 3182537511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goux Family Medicine Ctr Llc 4239 Highway 1192 Suite 100 Marksville LA 71351-4711 Ph: (318) 253-7511 | Goux Family Medicine Ctr Llc 4239 Highway 1192 Suite 100 Marksville LA 71351-4711 Ph: (318) 253-7511 |
| NPI Number | 1215067905 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215067905 | NPI | - | NPPES |
| 1454036 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD201185 (Louisiana) | Primary |
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