Healthcare Provider Details

I. General information

NPI: 1457587693
Provider Name (Legal Business Name): CONVENIENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2009
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 DRUSILLA LN SUITE B
BATON ROUGE LA
70809-1865
US

IV. Provider business mailing address

PO BOX 679632
DALLAS TX
75267-9632
US

V. Phone/Fax

Practice location:
  • Phone: 225-924-4460
  • Fax: 225-927-0547
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

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