Coolidge Location

LBN: Southern Urology Llc
Coolidge Location is an health care organization with primary practice located at 1016 Coolidge Blvd , Lafayette LA 70503-2436. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Southern Urology Llc can be contacted via phone (337) 233-6665, or through Breaux, Edward F via phone (337) 233-6665.

Contact Information

Primary practice address
1016 Coolidge Blvd Lafayette LA 70503-2436
Phone: (337) 233-6665
Fax: (337) 233-0327
Website:
Map and Directions
Authorized official contact:
Name: Breaux, Edward F Doctor of Medicine (MD)
Phone: (337) 233-6665

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1760612865
LBN Legal business name Southern Urology Llc
DBA Doing business as Coolidge Location
Authorized official Breaux, Edward F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2009
Last updated Jan 4th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760612865 NPPES
Louisiana MEDICAID 1305308
Louisiana Other 5DF66

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