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Jack D Fair, MD
Family Medicine Physician in Natchitoches, Louisiana
NPI 1568673028

Jack D Fair is a Family Medicine Physician based in Natchitoches, LA. Jack D Fair practices in Natchitoches, LA and has the professional credentials of MD. The NPI Number for Jack D Fair is 1568673028 and holds a License No. (Louisiana).

The current practice location address for Jack D Fair is 615 Bienville St, Natchitoches, LA and can be reached out via phone at 318-352-6800 and via fax at 318-352-6803.

Location: 615 Bienville St, Natchitoches, LA, 71457-5730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568673028
Provider Name
Jack D Fair
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
615 Bienville St, Natchitoches, LA, 71457-5730
Phone Number
318-352-6800
Fax Number
318-352-6803
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09966 05 LA
institution
Provider Business Practice Location Address Details
Address
615 Bienville St
City
Natchitoches
State
Louisiana
Zip
71457-5730
Phone Number
318-352-6800
Fax Number
318-352-6803
person
Provider Business Mailing Address Details
Address
615 Bienville St
City
Natchitoches
State
Louisiana
Zip
71457-5730
Phone Number
318-352-6800
Fax Number
318-352-6803
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
202650 (Louisiana)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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