| Guillermo Family Medical Clinic, Llc | |
|
301 S Washington St Suite A Deridder LA 70634-4861 | |
| (337) 460-7688 | |
| (337) 460-7691 |
| Full Name | Guillermo Family Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 S Washington St, Deridder, Louisiana |
| Authorized Official Name and Position | Andres J Guillermo (OWNER/PROVIDER) |
| Authorized Official Contact | 3374607688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guillermo Family Medical Clinic, Llc 301 S Washington St Suite A Deridder LA 70634-4861 Ph: (337) 460-7688 | Guillermo Family Medical Clinic, Llc 301 S Washington St Suite A Deridder LA 70634-4861 Ph: (337) 460-7688 |
| NPI Number | 1538460480 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538460480 | NPI | - | NPPES |
| 1005690 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.203910 (Louisiana) | 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 | |
Davenport Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W 6th St, Deridder, LA 70634 Phone: 337-460-0690 Fax: 337-460-0961 | |
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 |