Family Medicine Clinic
NPI #1114109923 in New Iberia, Louisiana
Provider Information
- NPI Number
- 1114109923
- Entity Type
- Organization
- Organization Name
- Family Medicine Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Mar 11, 2008
Practice Location
- Address
- 2309 EAST MAIN STREET
- Address 2
- SUITE 400
- City
- New Iberia
- State
- Louisiana
- ZIP Code
- 70560
- Phone
- (337) 367-0271
Authorized Official
- Name
- JOSE A MATA, MD
- Title
- PARTNER
- Phone
- (337) 367-0271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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