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MCNEESE STATE UNIVERSITY NPI 1750863957


NPI Information

NPI: 1750863957
Provider Name: MCNEESE STATE UNIVERSITY

Doing Business As: MCNEESE SPORTS MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
700 E MCNEESE ST
LAKE CHARLES, LA
ZIP 70607
Phone: (972) 367-4845
Get Directions

MCNEESE STATE UNIVERSITY is a family medicine in Lake Charles, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MCNEESE STATE UNIVERSITY NPI is 1750863957. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcneese Sports Medicine.

The provider's business location address is:

700 E MCNEESE ST
LAKE CHARLES, LA
ZIP 70607-832
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Administrator/agent and has the following contact phone number (972) 367-4845.

The enumeration date for this NPI number is 9/4/2018 and was last updated on 12/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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