Organization
WILLIAM ANDRE CENAC M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ANDRE CENAC MD (PHYSICIAN)
(337) 364-3000
Entity
Organization
Contact information
Practice address
1307 OLD JEANERETTE RD, SUITE 101, NEW IBERIA, LA 70563-5801
(337) 364-5333
Mailing address
1307 OLD JEANERETTE RD, SUITE 101, NEW IBERIA, LA 70563-5801
(337) 364-5333
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD.017658
LA
261QA1903X
Ambulatory Surgical Clinic/Center
MD.017658
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358941
—
LA
Enumeration date
07/19/2012
Last updated
07/19/2012
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