Organization
TERRY'S MEDICAL SPECIALTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L. CAIN CFM (PART OWNER / MANAGER)
(337) 981-0744
Entity
Organization
Contact information
Practice address
119 LEONIE ST, LAFAYETTE, LA 70506-6227
(337) 981-0744
(337) 981-9955
Mailing address
119 LEONIE ST, LAFAYETTE, LA 70506-6227
(337) 981-0744
(337) 981-9955
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1374156
—
LA
Enumeration date
11/21/2006
Last updated
04/10/2017
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