Organization
ORTHOPAEDIC SPORTS SPECIALISTS OF LOUISIANA, LLC
Active
Other names
OrthoLA
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A. HIGGINS (OWNER)
(985) 625-2200
Entity
Organization
Contact information
Practice address
180 CORPORATE DR, HOUMA, LA 70360-2766
(985) 625-2200
(985) 625-2206
Mailing address
PO BOX 28, THIBODAUX, LA 70302-0028
(985) 625-2200
(985) 625-2206
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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