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DAVENPORT FAMILY MEDICAL CLINIC LLC
NPI 1063642114
Clinic/Center - Primary Care in Deridder, LA

Active since July 23, 2009
101 W 6TH ST, DERIDDER, LA 70634(337) 460-0690(337) 460-0961 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Davenport Family Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVENPORT FAMILY MEDICAL CLINIC LLC (NPI 1063642114) is a healthcare organization registered as a primary care in Deridder, Louisiana and active in the NPI registry since July 2009. The organization lists Pearre Jones Davenport, Owner, as its authorized official.

NPPES Registry Identity

NPI1063642114
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDAVENPORT FAMILY MEDICAL CLINIC LLC
Location Address101 W 6TH STDeridder, LA 70634-4963
Mailing Address101 W 6th StDeridder, LA 70634-4963 · (337) 460-0690
Phone(337) 460-0690
Fax(337) 460-0961
Organization SubpartNo
Authorized OfficialPearre Jones DavenportOwner · (337) 460-0690
Enumeration DateJuly 23, 2009
✔ NPI 1063642114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
101 W 6TH ST, Deridder, LA 70634
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARDIOLOGY CLINIC OF DERIDDER
Clinic/Center
101 W 6TH ST
DERIDDER, LA 70634
Beauregard Parish (337) 460-1353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davenport Family Medical Clinic LLC's NPI number?

The NPI number for Davenport Family Medical Clinic LLC is 1063642114. It was assigned to this organization in the NPPES registry on July 23, 2009.

Where is Davenport Family Medical Clinic LLC located?

Davenport Family Medical Clinic LLC is located at 101 W 6th St, Deridder, LA 70634. The listed phone number is (337) 460-0690.

What is Davenport Family Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Davenport Family Medical Clinic LLC was last updated on July 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.