Castor Creek Emergency Physicians LLC
Organization Active NPI Emergency Medicine Physician · Olla, LA
NPI 1174772990 · NPPES record last updated Dec 9, 2019
Key facts
- NPI
- 1174772990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CASTOR CREEK EMERGENCY PHYSICIANS LLC
- Practice address
- 1102 N Pine Rd
Olla, LA 71465-4804 - Phone
- (973) 251-1132
- Fax
- (318) 495-3229
- NPI assigned
- Sep 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Kathleen Kondas
- Title
- Officer
- Phone
- (973) 251-1132
Practitioners 14
-
David Abdehou, MD
-
Roy Braswell, M.D.
-
Robert Lepine Fontane, M.D.
-
Luis Felipe Mosquera, MD.
-
Atwood Lumberd Rice III, M.D.
-
Jeffrey Tanita, M.D.
-
Chukwudi B Uchendu, M.D.
-
Jose Gonzalo Zavaleta, M.D.
-
Rhoda R Jones, M.D., M.S.
-
Bruce H. Lobitz, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1102 N Pine Rd
Olla, LA 71465-4804
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (973) 251-1132
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356263 | Medicaid | LA |
Other providers in Olla, LA
- Wayne S Barksdale
- Bullard Drug and Wellness
- Bullard Drug and Wellness
- Ashley Bullard
- Matthew Brent Bullard
- Charl Frederick Du Toit Ceronio
- Alyssa Welch Connor
- Laura Cummings Griffin
- Kristen Derr
- Eric Charles Dupree
All providers in Olla, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.