Beauregard Pediatric Center, LLC

NPI #1992005532 in Deridder, Louisiana

Provider Information

NPI Number: 1992005532
Entity Type: Organization
Organization Name: Beauregard Pediatric Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WEST LOUISIANA HEALTH SERVICES, INC.
Primary Specialty: Pediatrics
Enumeration Date: Oct 29, 2010
Last Updated: Oct 29, 2010

Practice Location

Address: 600 S PINE ST
City: Deridder
State: Louisiana
ZIP Code: 70634-4942
Phone: (337) 462-7106

Authorized Official

Name: MR. THEODORE J. BADGER JR.
Title: CEO
Phone: (337) 462-7105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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