| Cenla Physicians Wound Care | |
|
4501 Jackson St Ext Ste C355 Alexandria LA 71303-2555 | |
| (318) 528-5131 | |
| Not Available |
| Full Name | Cenla Physicians Wound Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4501 Jackson St Ext Ste C355, Alexandria, Louisiana |
| Authorized Official Name and Position | Mohammed Sadat Aziz (OWNER/PRESIDENT) |
| Authorized Official Contact | 3185285131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cenla Physicians Wound Care 4501 Jackson St Ext Ste C355 Alexandria LA 71303-2555 Ph: (318) 528-5131 | Cenla Physicians Wound Care 4501 Jackson St Ext Ste C355 Alexandria LA 71303-2555 Ph: (318) 528-5131 |
| NPI Number | 1427843697 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 07/09/2026 |
| Certification Date | 07/09/2026 |
| Medicare PECOS PAC ID | 7315459260 |
|---|---|
| Medicare Enrollment ID | O20250625002713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427843697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 208M00000X | Hospitalist | (NU) | Secondary |
| 2279S1500X | Respiratory Therapist, Registered - Snf/subacute Care | (NU) | Secondary |
| Provider Name | Mohammed S Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083912828 PECOS PAC ID: 8426367665 Enrollment ID: I20161019001110 |
| Provider Name | Renee Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508671009 PECOS PAC ID: 2860917234 Enrollment ID: I20250417002313 |
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