SOUTHERN UROLOGY LLC NPI 1407564263

NPI Information

  • NPI: 1407564263
  • Provider Name: SOUTHERN UROLOGY LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 1307 CROWLEY RAYNE HWY
    CROWLEY, LA
    ZIP 70526
  • Phone: (337) 232-4555

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NPI Details

SOUTHERN UROLOGY LLC is an urology in Crowley, LA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. SOUTHERN UROLOGY LLC NPI is 1407564263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1307 CROWLEY RAYNE HWY
CROWLEY, LA
ZIP 70526-210
Phone: (337) 232-4555

The provider's authorized official is Mark Robert Eldredge .
The authorized official title is Authorized Official and has the following contact phone number (337) 769-7779.

The enumeration date for this NPI number is 11/10/2022 and was last updated on 11/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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