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Organization
BRYAN A PICOU ET AL PTR
Active
Organization
BRYAN A PICOU ET AL PTR
Active
Other names
Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ANTHONY PICOU MD (OWNER)
(318) 352-2971
Entity
Organization
Contact information
Practice address
740 KEYSER AVE, SUITE A, NATCHITOCHES, LA 71457-6037
(318) 352-2971
Mailing address
740 KEYSER AVE, SUITE A, NATCHITOCHES, LA 71457-6037
(318) 352-2971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001236
—
LA
Enumeration date
11/14/2006
Last updated
07/21/2022
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