| NPI | 1962128124 |
|---|---|
| Doing Business As | FONTENOT FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER AGUILLARD CEO 337-363-9486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-12-19 |