| Nexus Wound Consultants -louisiana Llc | |
|
3867 Plaza Tower Dr Baton Rouge LA 70816-4378 | |
| (830) 285-8882 | |
| (830) 215-4711 |
| Full Name | Nexus Wound Consultants -louisiana Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3867 Plaza Tower Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Samuel Jurca (DO/OWNER) |
| Authorized Official Contact | 8302858882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Wound Consultants -louisiana Llc Po Box 738652 Dallas TX 75373-8652 Ph: (830) 285-8882 | Nexus Wound Consultants -louisiana Llc 3867 Plaza Tower Dr Baton Rouge LA 70816-4378 Ph: (830) 285-8882 |
| NPI Number | 1497591135 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/05/2024 |
| Medicare PECOS PAC ID | 0446799217 |
|---|---|
| Medicare Enrollment ID | O20240823002457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497591135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leah S Cullins Hartford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265633465 PECOS PAC ID: 9537283007 Enrollment ID: I20120710000177 |
| Provider Name | Lauren Causey Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871176057 PECOS PAC ID: 6305247875 Enrollment ID: I20210622003155 |
| Provider Name | Samuel Jurca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20240823002555 |
| Provider Name | Stacey Raybuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720020076 PECOS PAC ID: 0941230858 Enrollment ID: I20241119003212 |
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