# MID STATE ORTHOPAEDIC URGENT CARE, LLC

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

## Provider details

- **NPI number:** 1952083057
- **Authorized official:** SCOTT R COLEMAN CPA (CEO)
- **Authorized official phone:** (318) 473-9556

## Contact information

- **Practice address:** 3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
- **Practice address phone:** (318) 473-9556
- **Practice address fax:** (318) 441-8339
- **Mailing address:** 3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
- **Mailing address phone:** (318) 473-9556
- **Mailing address fax:** (318) 441-8339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 08/09/2023