Organization Active NPI

Ucfa Physicians Network Group of Louisiana

  • Family Medicine Physician
  • Houma, LA
National Provider Identifier
1265102537
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UCFA PHYSICIANS NETWORK GROUP OF LOUISIANA
Practice address
7712 Main St
Houma, LA 70360-4489
Phone
(423) 271-9911
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theo Stephens
Title
Acting Chief PNG
Phone
(423) 271-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7712 Main St
Houma, LA 70360-4489

Mailing address

8930 Cross Park Dr Ste 3
Knoxville, TN 37923-4713
Phone (423) 271-9911

National Provider Directory

National Provider Directory

Locations

7712 Main St
Houma, LA 70360

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1265102537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 CROSS PARK DR STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234713",
            "telephone_number": "423-271-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604489",
            "telephone_number": "423-271-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCFA PHYSICIANS NETWORK GROUP OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "THEO",
        "authorized_official_title_or_position": "ACTING CHIEF PNG",
        "authorized_official_telephone_number": "423-271-9911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.