Healthcare Provider Details
I. General information
NPI: 1780090886
Provider Name (Legal Business Name): DOCTORS SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2014
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7855 HOWELL BLVD
BATON ROUGE LA
70807
US
IV. Provider business mailing address
5710 LBJ FREEWAY, SUITE 325
DALLAS TX
75240
US
V. Phone/Fax
- Phone: 225-228-2800
- Fax: 225-228-2769
- Phone: 972-432-6550
- Fax: 214-261-2217
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PAUL
COURTNEY
Title or Position: MGR
Credential: MGR
Phone: 225-228-2800