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Specialty details in registry · Eunice, LA

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At a glance

210 W Vine Ave, Eunice, LA 70535-3372

NPPES record updated Aug 14, 2020. Public records can lag behind changes at a practice.

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Practice location

210 W Vine Ave
Eunice, LA 70535-3372
Professional details: NPI, taxonomy & registry record
NPI1942811740
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
343900000X
Enumeration date
Aug 14, 2020
Record updated
Aug 14, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

343900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

210 W Vine Ave
Eunice, LA 70535-3372
Phone
(337) 246-1914
Mailing address
1431 CROUCHET ST

OPELOUSAS, LA 705702815
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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