# ALLEN'S FAMILY PRACTICE CLINIC OF PONCHATOULA, L.L.P.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992793095
- **Authorized official:** MRS. CATHY L. ALLEN (CLINIC MANAGER)
- **Authorized official phone:** (985) 386-6198

## Contact information

- **Practice address:** 105 E OAK ST, PONCHATOULA, LA 70454-2619
- **Practice address phone:** (985) 386-6198
- **Practice address fax:** (985) 386-6223
- **Mailing address:** PO BOX 129, PONCHATOULA, LA 70454-0129
- **Mailing address phone:** (985) 386-6198
- **Mailing address fax:** (985) 386-6223

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 07/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1950009 | — | LA |