Organization
DR. THOMAS FONTENOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA FITZPATRICK (CONSULTANT)
(770) 943-5260
Entity
Organization
Contact information
Practice address
417 E LINCOLN RD, SUITE A, VILLE PLATTE, LA 70586-3431
(337) 363-7744
Mailing address
417 E LINCOLN RD, SUITE A, VILLE PLATTE, LA 70586-3431
(337) 363-7744
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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