# PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES , LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROGRESSIVE ACUTE CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396088464
- **Legal business name:** PROGRESSIVE ACUTE CARE, LLC
- **Authorized official:** DONNA D VARNADO (VP BUSINESS SERVICES)
- **Authorized official phone:** (985) 624-7401

## Contact information

- **Practice address:** 1100 ANDRE ST STE 101, NEW IBERIA, LA 70563-2159
- **Practice address phone:** (337) 369-9309
- **Mailing address:** 2210 7TH ST, MANDEVILLE, LA 70471-1872
- **Mailing address phone:** (985) 624-7401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 04/24/2013