Organization
DOCTORS OUTPATIENT SURGERY CENTER LLC
Active
Other names
SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIM G PORCHE (BUSINESS OFFICE MANAGER)
(337) 233-8603
Entity
Organization
Contact information
Practice address
1101 S COLLEGE RD, SUITE 100, LAFAYETTE, LA 70503-3038
(337) 233-8603
(337) 234-0341
Mailing address
1101 S COLLEGE RD, SUITE 100, LAFAYETTE, LA 70503-3038
(337) 233-8603
(337) 234-0341
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2203783255
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356417
—
LA
Enumeration date
07/07/2006
Last updated
12/08/2017
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