# WEST MONROE FAMILY PRACTICE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ONE SOURCE MEDICAL MANAGEMENT, INC.
- **Other names:** Family Practice Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306269360
- **Legal business name:** ONE SOURCE MEDICAL MANAGEMENT, INC.
- **Authorized official:** DANNY GARNER (PRACTICE MANAGER)
- **Authorized official phone:** (318) 398-2680

## Contact information

- **Practice address:** 2933 CYPRESS ST STE 1, HALL A, WEST MONROE, LA 71291-5337
- **Practice address phone:** (318) 398-2680
- **Practice address fax:** (318) 322-2885
- **Mailing address:** PO BOX 2673, WEST MONROE, LA 71294-2673
- **Mailing address phone:** (318) 398-2680
- **Mailing address fax:** (318) 322-2885

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 04/26/2016