Organization · NPI-2

Orthopaedic Reconstructive Sub-Specialists LLC

Clinic/Center · Opelousas, LA

NPI number1255596490
StatusActive
Last updated in NPPESJul 28, 2008

Details

NPI
1255596490
Entity type
Organization (NPI-2)
Legal business name
Orthopaedic Reconstructive Sub-Specialists LLC
Organization subpart
No
Enumeration date
Jul 28, 2008
Last updated
Jul 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center200825LAYes

Practice location

1233 Wayne Gilmore Cir
Suite 250-A
Opelousas, LA 70570-6405

Phone 337-948-8556 · Fax 337-948-6881

Mailing address

1233 Wayne Gilmore Cir
Suite 250-A
Opelousas, LA 70570-6405

Phone 337-948-8556 · Fax 337-948-6881

Authorized official

Paul E Fenn
Owner / Operator
3379488556

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Opelousas, LA