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Organization
BAYOU ORTHOCARE LLC
Active
Organization
BAYOU ORTHOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE KNATT M.D., (OWNER)
(337) 534-0219
Entity
Organization
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY STE 208B, LAFAYETTE, LA 70508-6949
(337) 466-4666
(337) 466-4829
Mailing address
4630 AMBASSADOR CAFFERY PKWY STE 208B, LAFAYETTE, LA 70508-6949
(337) 466-4666
(337) 466-4829
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/19/2024
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