OrganizationActive
Davenport Family Medical Clinic LLC
NPI 1063642114 · Primary Care Clinic/Center · Deridder, LA
Provider details
- NPI number
- 1063642114
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pearre Davenport, Owner(337) 460-0690
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
101 W 6th St
Deridder, LA 70634-4963
Phone: (337) 460-0690
Fax: (337) 460-0961
Approximate (ZIP-level) locationGet directions
Mailing address
101 W 6th St
Deridder, LA 70634-4963
Registry dates
- Enumerated
- 2009-07-23
- Last updated
- 2009-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.