| NPI | 1922156777 |
|---|---|
| Doing Business As | FAMILY PHYSICIAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | MAIRUS T MCFARLAND Md 318-861-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |