# ZACHARY ORTHOPAEDIC CARE CENTER

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

## Provider details

- **NPI number:** 1992773949
- **Authorized official:** BRIAN E KOZAR MD (PRESIDENT)
- **Authorized official phone:** (225) 658-9996

## Contact information

- **Practice address:** 4845 MAIN ST, SUITE B-1, ZACHARY, LA 70791-3943
- **Practice address phone:** (225) 658-9996
- **Practice address fax:** (225) 658-9970
- **Mailing address:** PO BOX 975, ZACHARY ORTOPAEDIC CARE CENTER, ZACHARY, LA 70791
- **Mailing address phone:** (225) 658-9996
- **Mailing address fax:** (225) 658-9970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 05/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1069124 | — | LA |
| 01 | — | 2964486970 | BCBS | LA |