| Urban Medical Clinic, Inc. | |
|
1910 Jackson St. Monroe LA 71202-2532 | |
| (318) 325-7998 | |
| (318) 398-0888 |
| Full Name | Urban Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1910 Jackson St., Monroe, Louisiana |
| Authorized Official Name and Position | Kermit Lamar Walters (PRESIDENT) |
| Authorized Official Contact | 3183257998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Medical Clinic, Inc. 1910 Jackson St. Monroe LA 71202-2532 Ph: (318) 325-7998 | Urban Medical Clinic, Inc. 1910 Jackson St. Monroe LA 71202-2532 Ph: (318) 325-7998 |
| NPI Number | 1598015968 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598015968 | NPI | - | NPPES |
| 1797715 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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