Healthcare Provider Details

I. General information

NPI: 1508745324
Provider Name (Legal Business Name): BLUEBONNET SURGICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5049 BLUEBONNET BLVD
BATON ROUGE LA
70809-3084
US

IV. Provider business mailing address

5049 BLUEBONNET BLVD
BATON ROUGE LA
70809-3084
US

V. Phone/Fax

Practice location:
  • Phone: 225-334-8040
  • Fax: 225-269-5146
Mailing address:
  • Phone: 225-334-8040
  • Fax: 225-269-5146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: ERICK ROY SANCHEZ
Title or Position: MD/OWNER
Credential: MD
Phone: 409-772-8119