Organization
SUGARLAND PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETTA BOURGEOIS (INSURANCE MANAGER)
(985) 448-3737
Entity
Organization
Contact information
Practice address
5642 W MAIN ST, HOUMA, LA 70360-1250
(985) 853-2273
(985) 853-2790
Mailing address
PO BOX 968, THIBODAUX, LA 70302-0968
(985) 448-3737
(985) 448-3736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022422
LA
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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