| NPI | 1164995742 |
|---|---|
| Doing Business As | DUPRE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KELLI VIDRINE Billing Manager 337-363-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2021-01-19 |