Medical & Surgical Clinic A Medical | |
1003 South Spruce St Vivian LA 71082-3200 | |
(318) 375-3239 | |
(318) 375-2755 |
Full Name | Medical & Surgical Clinic A Medical |
---|---|
Speciality | Family Medicine |
Location | 1003 South Spruce St, Vivian, Louisiana |
Authorized Official Name and Position | Pamela R. Hughes (ADMINISTRATOR) |
Authorized Official Contact | 3183753239 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medical & Surgical Clinic A Medical 1003 South Spruce St Vivian LA 71082-3200 Ph: (318) 375-3239 | Medical & Surgical Clinic A Medical 1003 South Spruce St Vivian LA 71082-3200 Ph: (318) 375-3239 |
NPI Number | 1093744146 |
---|---|
Provider Enumeration Date | 07/01/2006 |
Last Update Date | 02/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093744146 | NPI | - | NPPES |
1942995 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |