Organization
OPELOUSAS CTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C KONUR (MANAGER GOVERNOR)
(985) 876-0300
Entity
Organization
Contact information
Practice address
1233 WAYNE GILMORE CIRCLE, 5TH FLOOR, OPELOUSAS, LA 70570-6404
(337) 407-3207
(225) 282-1049
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 876-5529
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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