Organization
MENAVRY LLC
Active
Other names
Newman Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NEWMAN (PRACTICE ADMINISTRATOR)
(318) 623-8958
Entity
Organization
Contact information
Practice address
502 HOSPITAL DR, OAKDALE, LA 71463-3043
(318) 447-1598
(866) 341-4249
Mailing address
502 HOSPITAL DR, OAKDALE, LA 71463-3043
(318) 447-1598
(866) 341-4249
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413449
—
LA
Enumeration date
11/16/2013
Last updated
10/20/2023
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