Wellformed AI

NPI 1649084401 · live from the CMS NPI Registry

Acadiana Practitioners LLC

Clinic/Center, Rural Health in Opelousas, LA. National Provider Identifier 1649084401, active.

NPI record

NPI1649084401 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Rural Health 261QR1300X
Practice location1200 Hospital Dr Ste 4, Opelousas, LA 70570
Practice phone337-948-7090
Mailing address1119 Prudhomme Cir, Opelousas, LA 70570
EnumeratedFebruary 3, 2025
Last updatedFebruary 5, 2025
Authorized officialTaylor Stevens, Manager
Other namesAcadiana Practitioners' Specialty Clinic

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000X—
Internal Medicine, Pulmonary Disease207RP1001X—
Clinic/Center, Rural Health primary261QR1300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.