# CORDOVA FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1215233895
- **Authorized official:** DR. FREDY H CORDOVA MD (OWNER)
- **Authorized official phone:** (318) 377-6500

## Contact information

- **Practice address:** 2 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
- **Practice address phone:** (318) 377-6500
- **Practice address fax:** (318) 377-6503
- **Mailing address:** 2 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
- **Mailing address phone:** (318) 377-6500
- **Mailing address fax:** (318) 377-6503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 204318 | LA | Yes |

## Other

- **Enumeration date:** 01/31/2011
- **Last updated:** 01/31/2011