# IRIZARRY FAMILY PRACTICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carlos A Irizarry MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477888493
- **Authorized official:** CARLOS A IRIZARRY M.D. (PHYSICIAN)
- **Authorized official phone:** (318) 377-8401

## Contact information

- **Practice address:** 2 MEDICAL PLAZA PL, \# 2 MEDICAL PLAZA, MINDEN, LA 71055-3330
- **Practice address phone:** (318) 377-8401
- **Practice address fax:** (318) 377-8469
- **Mailing address:** 2 MEDICAL PLAZA PL, \# 2 MEDICAL PLAZA, MINDEN, LA 71055-3330
- **Mailing address phone:** (318) 377-8401
- **Mailing address fax:** (318) 377-8469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 06856R | LA | Yes |

## Other

- **Enumeration date:** 10/08/2009
- **Last updated:** 11/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1817040 | — | LA |
| 05 | — | 1928275 | — | LA |