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Organization
ORTHOPAEDIC SPORTS SPECIALISTS OF LOUISIANA, LLC
Active
Organization
ORTHOPAEDIC SPORTS SPECIALISTS OF LOUISIANA, LLC
Active
Other names
OrthoLA
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A. HIGGINS (OWNER)
(985) 625-2200
Entity
Organization
Contact information
Practice address
180 CORPORATE DR, HOUMA, LA 70360-2766
(985) 625-2200
(985) 625-2206
Mailing address
PO BOX 28, THIBODAUX, LA 70302-0028
(985) 625-2200
(985) 625-2206
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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