Organization
NEURO SCIENCE CENTER OF ACADIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES NEAL DOMINGUE M.D. (REGISTERED AGENT)
(337) 269-5840
Entity
Organization
Contact information
Practice address
1245 S COLLEGE RD, SUITE 100, LAFAYETTE, LA 70503-2907
(337) 269-5840
(337) 237-7568
Mailing address
1245 S COLLEGE RD, SUITE 100, LAFAYETTE, LA 70503-2907
(337) 269-5840
(337) 237-7568
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
03/23/2011
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