Medical & Surgical Clinic a Medical

NPI #1093744146 in Vivian, Louisiana

Provider Information

NPI Number: 1093744146
Entity Type: Organization
Organization Name: Medical & Surgical Clinic a Medical
Primary Specialty: Family Medicine
Enumeration Date: Jul 1, 2006
Last Updated: Feb 4, 2008

Practice Location

Address: 1003 SOUTH SPRUCE ST
City: Vivian
State: Louisiana
ZIP Code: 71082-3200
Phone: (318) 375-3239

Authorized Official

Name: PAMELA R. HUGHES
Title: ADMINISTRATOR
Phone: (318) 375-3239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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