Organization
BATON ROUGE GENERAL PHYSICIANS HOSPITAL SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL JOHNSON (C.F.O.)
(225) 237-1645
Entity
Organization
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70809
(225) 387-7724
Mailing address
PO BOX 4869, DEPT: 235, HOUSTON, TX 77210-4869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448788
—
LA
01
—
DE6445
RAILROAD MEDICARE
LA
Enumeration date
08/16/2006
Last updated
12/08/2015
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