| NPI | 1497357156 |
|---|---|
| Doing Business As | BAYOU FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | BRITTNEY WHITLOCK Credentialing Manager 318-325-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-16 |