Organization
MEDICAL & SURGICAL CLINIC A MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA R. HUGHES (ADMINISTRATOR)
(318) 375-3239
Entity
Organization
Contact information
Practice address
1003 SOUTH SPRUCE ST, VIVIAN, LA 71082-3200
(318) 375-3239
(318) 375-2755
Mailing address
1003 SOUTH SPRUCE ST, VIVIAN, LA 71082-3200
(318) 375-3239
(318) 375-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942995
—
LA
Enumeration date
07/01/2006
Last updated
02/04/2008
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