Organization
SOUTHERN SPROUTS PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RENEE RACHAL NP (NURSE PRACTITIONER/CO-OWNER)
(318) 729-4265
Entity
Organization
Contact information
Practice address
1268 SOUTHAMPTON DR, ALEXANDRIA, LA 71303-3036
(318) 777-6887
(318) 545-5226
Mailing address
1268 SOUTHAMPTON DR, ALEXANDRIA, LA 71303-3036
(318) 777-6887
(318) 545-5226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130064
—
LA
Enumeration date
08/23/2022
Last updated
12/09/2025
Update your record
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