Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pride Plaza Medical LLC

Organization Family Medicine Physician · NPI 1790773430

Pride Plaza Medical LLC is a Family Medicine Physician in Lafayette, Louisiana. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

850 N Pierce St Ste D
Lafayette, LA 70501-2848
Phone: (337) 233-2115
Fax: (337) 237-9075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1790773430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Mwatibo — Partner/Md · (337) 233-2115
Other names Stephens Johnny J Member
NPI enumeratedOctober 6, 2005
Last updated in NPPESOctober 7, 2010
Mailing address850 N Pierce Street, Suite D, Lafayette, LA 70501-2848

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