Organization
PHYSICIAN PRACTICE PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS A PEOPLES (CEO)
(985) 873-4141
Entity
Organization
Contact information
Practice address
8166 MAIN ST, HOUMA, LA 70360-3404
(985) 873-4141
Mailing address
PO BOX 6014, HOUMA, LA 70361-6014
(985) 873-4141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/11/2016
Last updated
04/10/2017
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