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NPI Code Detail

MEDICARE: FAMILY SOLUTIONS PEDIATRICS, LLC

MEDICARE: FAMILY SOLUTIONS PEDIATRICS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1396206223
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SOLUTIONS PEDIATRICS, LLC
Provider Business Mailing Address
First Line : 1105 HUDSON LN
Second Line :
City : MONROE
State : LA
Zip : 71201-6003
Country : US
Telephone Number : 318-322-6500
Fax Number :
Provider Business Practice Location Address
First Line : 3101 KILPATRICK BLVD
Second Line :
City : MONROE
State : LA
Zip : 71201-5157
Country : US
Telephone Number : 318-582-1414
Fax Number :
Authorized Official
Title or Position : BUSINESS DEVELOPMENT MANAGER
Name : MRS. ASHLEY HENDRIX
Credential :
Telephone Number : 318-322-6500
Provider Enumeration Date : 03/25/2019
Last Update Date : 06/11/2019

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Directions to “FAMILY SOLUTIONS PEDIATRICS, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.