Organization
THIBODAUX SURGERY CENTER, LLC
Active
Other names
Bayou Region Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY GERARD LANDRY MD (PRESIDENT)
(985) 446-1763
Entity
Organization
Contact information
Practice address
604 N ACADIA RD, SUITE 300, THIBODAUX, LA 70301-4847
(985) 449-1244
(985) 449-1242
Mailing address
604 N ACADIA RD, SUITE 300, THIBODAUX, LA 70301-4847
(985) 449-1244
(985) 449-1242
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
151
LA
Other
Enumeration date
01/18/2007
Last updated
04/06/2010
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