| NPI | 1891013496 |
|---|---|
| Doing Business As | MGH PHYSICIANS CLINIC |
| Entity Type | Organization |
| Authorized Contact | DERRICK FRAZIER CEO 318-283-3601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 208600000X Surgery | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2023-05-25 |