Organization
CLHG-VILLE PLATTE LLC
Active
Other names
Fontenot Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER AGUILLARD (CEO)
(337) 363-9486
Entity
Organization
Contact information
Practice address
417 E LINCOLN RD STE A, VILLE PLATTE, LA 70586-3431
(337) 363-5684
Mailing address
800 E MAIN ST, VILLE PLATTE, LA 70586-4618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
12/19/2022
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