| Acadiana Practitioners' Specialty Clinic | |
|
1200 Hospital Dr Ste 4 Opelousas LA 70570-6552 | |
| (337) 948-7090 | |
| Not Available |
| Full Name | Acadiana Practitioners' Specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Hospital Dr Ste 4, Opelousas, Louisiana |
| Authorized Official Name and Position | Taylor Stevens (MANAGER) |
| Authorized Official Contact | 3374474027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadiana Practitioners' Specialty Clinic 1119 Prudhomme Cir Opelousas LA 70570-6516 Ph: (337) 447-4027 | Acadiana Practitioners' Specialty Clinic 1200 Hospital Dr Ste 4 Opelousas LA 70570-6552 Ph: (337) 948-7090 |
| NPI Number | 1649084401 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 4587924188 |
|---|---|
| Medicare Enrollment ID | O20250623002485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649084401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (NU) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
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