# AFFINITY HEALTH GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** THE MEDICAL OFFICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184791287
- **Authorized official:** MR. MIKE BREARD (VICE PRESIDENT)
- **Authorized official phone:** (318) 361-0900

## Contact information

- **Practice address:** 112 SAINT JOHN ST, MONROE, LA 71201-7322
- **Practice address phone:** (318) 387-5681
- **Practice address fax:** (318) 322-9957
- **Mailing address:** 130 DESIARD ST, STE 355, MONROE, LA 71201-7319
- **Mailing address phone:** (318) 807-7875
- **Mailing address fax:** (318) 812-9997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD016846 | LA | Yes |
| 363LF0000X | Family Nurse Practitioner | AP04747 | LA | — |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 07/05/2011