| Irizarry Family Practice, Llc | |
|
2 Medical Plaza Pl # 2 Medical Plaza Minden LA 71055-3330 | |
| (318) 377-8401 | |
| (318) 377-8469 |
| Full Name | Irizarry Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Medical Plaza Pl, Minden, Louisiana |
| Authorized Official Name and Position | Carlos A Irizarry (PHYSICIAN) |
| Authorized Official Contact | 3183778401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irizarry Family Practice, Llc 2 Medical Plaza Pl # 2 Medical Plaza Minden LA 71055-3330 Ph: (318) 377-8401 | Irizarry Family Practice, Llc 2 Medical Plaza Pl # 2 Medical Plaza Minden LA 71055-3330 Ph: (318) 377-8401 |
| NPI Number | 1477888493 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 11/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477888493 | NPI | - | NPPES |
| 1928275 | Medicaid | LA | |
| 1817040 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 06856R (Louisiana) | Primary |
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