# MEDICAL & SURGICAL CLINIC A MEDICAL

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

## Provider details

- **NPI number:** 1093744146
- **Authorized official:** PAMELA R. HUGHES (ADMINISTRATOR)
- **Authorized official phone:** (318) 375-3239

## Contact information

- **Practice address:** 1003 SOUTH SPRUCE ST, VIVIAN, LA 71082-3200
- **Practice address phone:** (318) 375-3239
- **Practice address fax:** (318) 375-2755
- **Mailing address:** 1003 SOUTH SPRUCE ST, VIVIAN, LA 71082-3200
- **Mailing address phone:** (318) 375-3239
- **Mailing address fax:** (318) 375-2755

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 02/04/2008