Affinity Health Group, LLC
Family Medicine in Monroe, LA. Organization (NPI-2).
NPI number1003297227
StatusActive
Last updated in NPPESAug 21, 2015
Details
- NPI
- 1003297227
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health Group, LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2015
- Last updated
- Aug 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208D00000X | General Practice | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | – | – | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 208600000X | Surgery | – | – | |
| 208800000X | Urology | – | – |
Other names
- Affinity Central Lab (Doing Business As)
Practice location
920 Oliver RdSuite C
Monroe, LA 71201-5702
Phone 318-812-7050 · Fax 318-812-7053
Mailing address
130 Desiard StSuite 355
Monroe, LA 71201-7319
Phone 318-807-7875 · Fax 318-812-6603
Authorized official
Mike Breard
Executive Vice President
3183610900
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