Organization
BAYOU MEDICAL LLC
Active
Other names
BAYOU MEDICAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRA GRAYSON (OFFICE MANAGER)
(318) 435-4140
Entity
Organization
Contact information
Practice address
301 PRAIRIE ST, WINNSBORO, LA 71295-2732
(318) 435-4140
(318) 435-4139
Mailing address
301 PRAIRIE ST, WINNSBORO, LA 71295-2732
(318) 435-4140
(318) 435-4139
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851616809
—
LA
05
—
2118218
—
LA
Enumeration date
04/01/2010
Last updated
12/09/2024
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