Organization
DR ANDRE L PINAC III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE L PINAC III MD (OWNER)
(337) 942-2112
Entity
Organization
Contact information
Practice address
816 CRESWELL LANE, SUITE 1, OPELOUSAS, LA 70570
(337) 942-2112
(337) 942-5805
Mailing address
816 CRESWELL LANE, SUITE 1, OPELOUSAS, LA 70570
(337) 942-2112
(337) 942-5805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016264
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348830
—
LA
Enumeration date
05/19/2006
Last updated
05/22/2008
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