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Organization

NEIL HALIM FAIRFIELD FAMILY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDER PUCKETT (OFFICE MANAGER)
(318) 675-1313
Entity
Organization

Contact information

Practice address
1860 FAIRFIELD AVE, SHREVEPORT, LA 71101-4431
(318) 675-1313
Mailing address
314 BLUE FOX CIR, HAUGHTON, LA 71037-7707

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP08906
LA

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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