# DRW

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAYOU FAMILY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497357156
- **Authorized official:** BRITTNEY WHITLOCK (CREDENTIALING MANAGER)
- **Authorized official phone:** (318) 325-6200

## Contact information

- **Practice address:** 832 JULIA ST, RAYVILLE, LA 71269-2608
- **Practice address phone:** (318) 728-4787
- **Practice address fax:** (318) 728-2598
- **Mailing address:** PO BOX 15581, MONROE, LA 71207-5581

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2020
- **Last updated:** 11/16/2020