1053492322 NPI number — A WOMAN'S CENTER FOR REPRODUCTIVE MEDICINE, L.L.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053492322 NPI number — A WOMAN'S CENTER FOR REPRODUCTIVE MEDICINE, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A WOMAN'S CENTER FOR REPRODUCTIVE MEDICINE, L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053492322
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9000 AIRLINE HWY
Provider Second Line Business Mailing Address:
SUITE 670
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70815-4114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-926-6886
Provider Business Mailing Address Fax Number:
225-922-3730

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9000 AIRLINE HWY
Provider Second Line Business Practice Location Address:
SUITE 670
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70815-4114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-926-6886
Provider Business Practice Location Address Fax Number:
225-922-3730
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WEBSTER
Authorized Official First Name:
BOBBY
Authorized Official Middle Name:
WAYNE
Authorized Official Title or Position:
PRACTICE DIRECTOR
Authorized Official Telephone Number:
225-926-6886

Provider Taxonomy Codes

  • Taxonomy code: 207VE0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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