Southern Sprouts Pediatrics, Llc

LBN: Southern Sprouts Pediatrics, Llc
Southern Sprouts Pediatrics, Llc is an health care organization with primary practice located at 217 Brevard Ct Ste D , Alexandria LA 71303-3997. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southern Sprouts Pediatrics, Llc can be contacted via phone (318) 777-6887, or through Rachal, Heather Renee via phone (318) 729-4265.

Contact Information

Primary practice address
217 Brevard Ct Ste D Alexandria LA 71303-3997
Phone: (318) 777-6887
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rachal, Heather Renee Nurse Practitioner (NP)
Phone: (318) 729-4265

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1730808866
LBN Legal business name Southern Sprouts Pediatrics, Llc
DBA Doing business as
Authorized official Rachal, Heather Renee Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2022
Last updated Aug 23rd, 2022 - about 4 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 1730808866 NPPES
Louisiana MEDICAID 2130064

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