Organization · NPI-2
Opelousas Orthopaedic Clinic
Clinic/Center · Opelousas, LA
NPI number1700964764
StatusActive
Last updated in NPPESFeb 21, 2008
Details
- NPI
- 1700964764
- Entity type
- Organization (NPI-2)
- Legal business name
- Opelousas Orthopaedic Clinic
- Organization subpart
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Feb 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4015 Hwy I 49 South Service RdOpelousas, LA 70570
Phone 337-942-6503 · Fax 337-942-8831
Mailing address
4015 Hwy I 49 South Service RdOpelousas, LA 70570
Phone 337-942-6503 · Fax 337-942-8831
Authorized official
Francis Benny Fusilier
Administrator
3379426503
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