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NPI Code Detail

MEDICARE: INTEGRA HOSPITAL BATON ROUGE, LLC

MEDICARE: INTEGRA HOSPITAL BATON ROUGE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283X00000XRehabilitation Hospital474LA

General Provider Information

NPI Number : 1073658001
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRA HOSPITAL BATON ROUGE, LLC
Provider Business Mailing Address
First Line : 6900 N DALLAS PKWY
Second Line : SUITE 740
City : PLANO
State : TX
Zip : 75024-7144
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8000 SUMMA AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3423
Country : US
Telephone Number : 225-766-0130
Fax Number :
Authorized Official
Title or Position : FOUNDER & CHAIRMAN
Name : DAVID LEBLANC
Credential :
Telephone Number : 972-403-1860
Provider Enumeration Date : 02/20/2007
Last Update Date : 08/22/2020

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Directions to “INTEGRA HOSPITAL BATON ROUGE, LLC ” Practice Location

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