# PATRICK R. ELLENDER, M.D., L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255565222
- **Authorized official:** MS. KIM MARE LEGENDRE M.B.A. (ADMINISTRATOR)
- **Authorized official phone:** (985) 625-2200

## Contact information

- **Practice address:** 604 N ACADIA RD, SUITE 508, THIBODAUX, LA 70301-4897
- **Practice address phone:** (985) 625-2200
- **Practice address fax:** (985) 625-2206
- **Mailing address:** 604 N ACADIA RD, SUITE 508, THIBODAUX, LA 70301-4897
- **Mailing address phone:** (985) 625-2200
- **Mailing address fax:** (985) 625-2206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 236379 | LA | Yes |

## Other

- **Enumeration date:** 05/06/2009
- **Last updated:** 05/06/2009