| Phipps Management Llc Mbr | |
|
213 Fourpark Rd Suite C Lafayette LA 70507-2481 | |
| (337) 896-6440 | |
| (337) 896-6441 |
| Full Name | Phipps Management Llc Mbr |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 213 Fourpark Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Grover Phipps (MANAGER) |
| Authorized Official Contact | 3378966400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phipps Management Llc Mbr 213 Fourpark Rd Suite C Lafayette LA 70507-2481 Ph: (337) 896-6400 | Phipps Management Llc Mbr 213 Fourpark Rd Suite C Lafayette LA 70507-2481 Ph: (337) 896-6440 |
| NPI Number | 1952622664 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952622664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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