State of Louisiana
State of Louisiana is a Sports Medicine (Family Medicine) Physician in Hammond, Louisiana. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
548 Western AveHammond, LA 70402-0001
Phone: (972) 367-4845
Fax: (972) 367-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X |
Record details
| NPI number | 1578950028 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | Southeastern Louisiana Sports Medicine |
| NPI enumerated | April 22, 2015 |
| Last updated in NPPES | April 22, 2015 |
| Mailing address | Po Box 650850, Dept 1011, Dallas, TX 75265-0850 |
Other providers in Hammond
-
Baton Rouge Orthopaedic Clinic LLC
42078 Veterans Ave Ste B, Hammond, LA 70403-1490 · (225) 490-3070
-
Nathan James Hensler, DO
42078 Veterans Ave Ste B, Hammond, LA 70403-1490 · (985) 490-3070
-
Dr. Ryan Rhodes, MD
15813 Paul Vega Md Dr Ste 201, Hammond, LA 70403-1431 · (985) 230-7440