NPI | 1073620191 |
---|---|
Doing Business As | VARNADO FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | JIMMIE W VANRNDO Owner 225-222-3206 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 011614) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2017-07-10 |