# GRACE FAMILY CLINIC, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093244832
- **Authorized official:** SHIRL LYNN FELDER DNP, APRN, FNP-BC (MANAGER/OWNER)
- **Authorized official phone:** (281) 208-2220

## Contact information

- **Practice address:** 103 1/2 WHITE ST, HAMMOND, LA 70403-4857
- **Practice address phone:** (281) 208-2220
- **Practice address fax:** (281) 208-2225
- **Mailing address:** 22450 BALMORAL DR, DENHAM SPRINGS, LA 70726-8828
- **Mailing address phone:** (281) 208-2220
- **Mailing address fax:** (281) 208-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2017
- **Last updated:** 03/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1326372087 | — | TX |
