Organization
BEAUREGARD PEDIATRIC CENTER, LLC
Active
Parent organization
WEST LOUISIANA HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST LOUISIANA HEALTH SERVICES, INC.
Authorized official
MR. THEODORE J. BADGER JR. (CEO)
(337) 462-7105
Entity
Organization
Contact information
Practice address
600 S PINE ST, DERIDDER, LA 70634-4942
(337) 462-7106
(337) 462-7479
Mailing address
PO BOX 730, DERIDDER, LA 70634-0730
(337) 462-7106
(337) 462-7479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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