Organization
CALHOUN FAMILY CARE CLINIC LLC
Active
Other names
Delta Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA D ZUBER FNP (OWNER/FNP)
(318) 644-2573
Entity
Organization
Contact information
Practice address
3101 CYPRESS ST, SUITE 9, WEST MONROE, LA 71291-5286
(318) 644-2573
(318) 644-7177
Mailing address
3101 CYPRESS ST, SUITE 9, WEST MONROE, LA 71291-5286
(318) 644-2573
(318) 644-7177
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QH0100X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5CU83
MEDICARE PTAN
LA
Enumeration date
05/10/2006
Last updated
11/11/2016
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