# MOAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KEVIN T. SCHLAMP, MD, LLC
- **Other names:** Schlamp Family Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306343561
- **Legal business name:** KEVIN T. SCHLAMP, MD, LLC
- **Authorized official:** BRIDGET VITA (ADMINISTRATOR)
- **Authorized official phone:** (337) 802-6936

## Contact information

- **Practice address:** 921 1ST AVE, SULPHUR, LA 70663-3424
- **Practice address phone:** (337) 527-6385
- **Practice address fax:** (337) 527-3527
- **Mailing address:** 921 1ST AVE, SULPHUR, LA 70663-3424
- **Mailing address phone:** (337) 527-6385
- **Mailing address fax:** (337) 527-3527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10408R | LA | Yes |

## Other

- **Enumeration date:** 04/12/2018
- **Last updated:** 04/12/2018