MEDICARE: DR. CHRISTOPHER E CENAC SR. MD

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
1	207X00000X	Orthopaedic Surgery Physician	011723	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609849413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER E CENAC SR. MD

Provider Business Mailing Address
First Line	:	210 NEW ORLEANS BLVD
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70364
Country	:	US
Telephone Number	:	985-868-7020
Fax Number	:	985-872-6869

Provider Business Practice Location Address
First Line	:	210 NEW ORLEANS BLVD
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70364-3346
Country	:	US
Telephone Number	:	985-868-7020
Fax Number	:	985-868-7020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	02/01/2008

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