Organization
ROYAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYAL SURGERY CENTER (CEO)
(318) 804-7480
Entity
Organization
Contact information
Practice address
107 FRONT ST STE 2126, VIDALIA, LA 71373-2835
(318) 336-2216
Mailing address
107 FRONT ST STE 2126, VIDALIA, LA 71373-2835
(318) 336-2216
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/25/2024
Last updated
05/12/2025
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