PRIDE PLAZA MEDICAL LLC NPI 1790773430

NPI Information

PRIDE PLAZA MEDICAL LLC is a family medicine in Lafayette, LA. The provider is 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. PRIDE PLAZA MEDICAL LLC NPI is 1790773430. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Stephens Johnny J Member.

The provider's business location address is:

850 N PIERCE STREET
SUITE D
LAFAYETTE, LA
ZIP 70501-848
Phone: (337) 233-2115
Fax: (337) 237-9075

The provider's authorized official is James Mwakitawa Mwatibo .
The authorized official title is Partner/md and has the following contact phone number (337) 233-2115.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 10/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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