Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Southern Surgical

Organization Specialist · NPI 1699823450

Advanced Southern Surgical is a Specialist in Thibodaux, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007

Practice location Address checks out

604 N Acadia Rd Ste 406
Thibodaux, LA 70301-4847
Phone: (985) 446-2524
Fax: (985) 447-2329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 15745R (LA)

Record details

NPI number1699823450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnny Perez — Manager · (985) 446-2524
NPI enumeratedJanuary 8, 2007
Last updated in NPPESMay 25, 2011
Mailing address604 N Acadia Road, Suite 406, Thibodaux, LA 70301

Other providers in Thibodaux