Southwest Medical Center Surgical Group, Llc is an orthopedic surgery with a current address of 4212 W Congress St Suite 3200 Lafayette LA 70506-6765. The NPI is 1689819898, and the license number is (). It was issued on március 12, 2008. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on január 8, 2011.
Southwest Medical Center Surgical Group, Llc can be reached by phone at 3379811695, by mail at 4212 W Congress St Suite 2300a Lafayette LA 70506-6765, or by fax at .
Matthew Olivier (Authorized Offical) is the authorized representative of the organization and can be reached at this phone number: 6153737600.
Name: Southwest Medical Center Surgical Group, Llc
Specialization: Orthopedic Surgery
Provider Entity Type: Organization
Is Organization Subpart: Yes
Authorized Name: Matthew Olivier
Authorized Title/Position: Authorized Offical
Contact Number: 6153737600
Practice Location Address:
4212 W Congress St Suite 3200
Lafayette
LA 70506-6765
Telephone Number: 3379811695
Fax Number:
Mailing Address:
4212 W Congress St Suite 2300a
Lafayette
LA 70506-6765
Telephone Number:
Fax Number:
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1689819898
Enumeration Date: március 12, 2008
Last Update: január 8, 2011
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number:
License State:
Taxonomy Group: 193200000x Multi-Specialty Group
Other Taxonomy (if any):
208G00000X
LA
Y
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
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Identifier State:
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