# PREMIER OBGYN SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1295051902
- **Authorized official:** CHANNING K SANDERS MD (MEMBER)
- **Authorized official phone:** (985) 223-8994

## Contact information

- **Practice address:** 8120 MAIN ST, SUITE 202, HOUMA, LA 70360-3403
- **Practice address phone:** (985) 223-8994
- **Practice address fax:** (985) 655-8994
- **Mailing address:** PO BOX 349, HOUMA, LA 70361-0349
- **Mailing address phone:** (985) 223-8994
- **Mailing address fax:** (985) 655-8994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2010
- **Last updated:** 03/22/2011