| NPI | 1679922249 |
|---|---|
| Doing Business As | FAMILY HEALTH PLAZA CARENCRO DME |
| Entity Type | Organization |
| Authorized Contact | AL PATIN SVP 337-289-8951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |