Organization
LOUISIANA URGENT CARE OF OPELOUSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK D. MOORE M.D. (MEDICAL DIRECTOR)
(337) 948-6331
Entity
Organization
Contact information
Practice address
5620 I-49 N. SERVICE RD, #11, OPELOUSAS, LA 70570-0722
(337) 948-6331
(337) 942-9998
Mailing address
5620 I-49 N. SERVICE RD, #11, OPELOUSAS, LA 70570-0722
(337) 948-6331
(337) 942-9998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD024344
LA
261QU0200X
Urgent Care Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027090
—
LA
Enumeration date
06/20/2006
Last updated
02/16/2015
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