| NPI | 1962574111 |
|---|---|
| Doing Business As | FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRYAN ANTHONY PICOU Owner 318-352-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-07-21 |