Organization
BPH ENTERPRISES, LLC
Active
Other names
WESTSIDE FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P HIGGINS M.D. (PRESIDENT)
(225) 749-2645
Entity
Organization
Contact information
Practice address
402 N VAUGHAN ST, BRUSLY, LA 70719-2225
(225) 749-2645
(225) 749-8216
Mailing address
402 N VAUGHAN ST, BRUSLY, LA 70719-2225
(225) 749-2645
(225) 749-8216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024237
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446777
—
LA
Enumeration date
09/15/2006
Last updated
07/16/2007
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