# MAPLEWOOD FAMILY MEDICINE CLINIC

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

## Provider details

- **NPI number:** 1144436015
- **Authorized official:** DANG NGUYEN MD (OWNER)
- **Authorized official phone:** (337) 625-5459

## Contact information

- **Practice address:** 3702 MAPLEWOOD DR, SULPHUR, LA 70663-6302
- **Practice address phone:** (337) 625-5459
- **Practice address fax:** (337) 626-2045
- **Mailing address:** 3702 MAPLEWOOD DR, SULPHUR, LA 70663-6302
- **Mailing address phone:** (337) 625-5459
- **Mailing address fax:** (337) 626-2045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200889 | LA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 03/05/2008