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Organization

GOUX FAMILY MEDICINE CTR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT PAUL GOUX M.D. (OWNER)
(318) 253-7511
Entity
Organization

Contact information

Practice address
4239 HIGHWAY 1192, SUITE 100, MARKSVILLE, LA 71351-4711
(318) 253-7511
(318) 253-7513
Mailing address
4239 HIGHWAY 1192, SUITE 100, MARKSVILLE, LA 71351-4711
(318) 253-7511
(318) 253-7513

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD201185
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1454036
LA
Enumeration date
03/06/2007
Last updated
08/22/2020
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