# PEDIATRIX MEDICAL GROUP OF LOUISIANA, L.L.C.

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

## Provider details

- **NPI number:** 1467559161
- **Authorized official:** MICHAEL ASHFORD (AUTHORIZED SIGNATORY)
- **Authorized official phone:** (800) 243-3839

## Contact information

- **Practice address:** 3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
- **Practice address phone:** (972) 437-5099
- **Practice address fax:** (972) 764-1661
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Mailing address phone:** (954) 384-0175
- **Mailing address fax:** (954) 851-1948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 11/12/2024