Moab LLC

NPI #1306343561 in Sulphur, Louisiana

Provider Information

NPI Number: 1306343561
Entity Type: Organization
Organization Name: Moab LLC
Subpart: Yes (part of a larger organization)
Parent Organization: KEVIN T. SCHLAMP, MD, LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 12, 2018
Last Updated: Apr 12, 2018

Practice Location

Address: 921 1ST AVE
City: Sulphur
State: Louisiana
ZIP Code: 70663-3424
Phone: (337) 527-6385

Authorized Official

Name: BRIDGET VITA
Title: ADMINISTRATOR
Phone: (337) 802-6936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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