Organization · Type 2 NPI

North Caddo Hospital Service District

Family Medicine Physician · Vivian, LA

NPI number 1003310756 Active

Practice location

815 S Pine St
Vivian, LA 71082-3353

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

17 other providers at this address

Other family medicine physician providers in Vivian

Medical & Surgical Clinic A MedicalFamily Medicine Physician Vivian, LA NPI 1093744146

See all in Vivian →

NPI record

NPI: 1003310756
Entity type: Organization (Type 2)
Issued: Mar 19, 2018
Last updated: May 13, 2022
Status: Active
Subpart: Yes of North Caddo Hospital Service District

Other names

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NCMC Medical and Surgical Clinic · doing business as

Authorized official

Mr. Dakota Robinson
CFO
(318) 375-4097

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003310756

North Caddo Hospital Service District's National Provider Identifier is 1003310756, issued on Mar 19, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Vivian, LA. The record was last updated on May 13, 2022.