Healthcare Provider Details

I. General information

NPI: 1952499972
Provider Name (Legal Business Name): DOUROUX PROSTHETIC-ORTHOTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 TERRY PKWY SUITE F
TERRYTOWN LA
70056-2792
US

IV. Provider business mailing address

PO BOX 661
DESTREHAN LA
70047-0661
US

V. Phone/Fax

Practice location:
  • Phone: 504-368-1477
  • Fax: 504-368-1488
Mailing address:
  • Phone: 504-915-1234
  • Fax: 985-307-0054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. BERNADETTE BARBARA DOUROUX
Title or Position: MANAGER,CO-OWNER
Credential: CERTIFIED PROSTHETIS
Phone: 504-368-1477