Organization
THE FAMILY CLINIC INC
Active
Other names
Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H MONTGOMERY MD (PRESIDENT)
(337) 942-5706
Entity
Organization
Contact information
Practice address
3921 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 942-5706
(337) 942-2644
Mailing address
3921 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 942-5706
(337) 942-2644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941492
—
LA
Enumeration date
03/15/2006
Last updated
08/22/2020
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