Healthcare Provider Details

I. General information

NPI: 1821181801
Provider Name (Legal Business Name): CONVENIENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 ONEAL LN
BATON ROUGE LA
70816-3318
US

IV. Provider business mailing address

PO BOX 679632
DALLAS TX
75267-9632
US

V. Phone/Fax

Practice location:
  • Phone: 225-756-0780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN P SELLARS
Title or Position: COO/PRESIDENT
Credential:
Phone: 225-214-9352