Organization · NPI-2

Acadiana Practitioners LLC

Clinic/Center, Rural Health · Opelousas, LA

NPI number1649084401
StatusActive
Last updated in NPPESFeb 5, 2025

Details

NPI
1649084401
Entity type
Organization (NPI-2)
Legal business name
Acadiana Practitioners LLC
Organization subpart
Yes
Enumeration date
Feb 3, 2025
Certification date
Feb 5, 2025
Last updated
Feb 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1300X Clinic/Center, Rural Health––Yes
207R00000X Internal Medicine––
207RP1001X Internal Medicine, Pulmonary Disease––

Other names

  • Acadiana Practitioners' Specialty Clinic (Doing Business As)

Practice location

1200 Hospital Dr Ste 4
Opelousas, LA 70570-6552

Phone 337-948-7090

Mailing address

1119 Prudhomme Cir
Opelousas, LA 70570-6516

Phone 337-447-4027 · Fax 337-585-2674

Authorized official

Taylor Stevens
Manager
3374474027

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, Rural Health providers in Opelousas, LA