| Organization Name: | BAYOU REGIONAL WOMEN'S CLINIC |
| NPI Number: | 1023036993 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEITH BRYAN ELBOURNE (OWNER / OPERATOR) |
| Mailing Address: | 6110 Main St Suite A Zachary |
| State: | LA US |
| Postal Code: | 707914033 |
| Phone Number: | 2256586013 |
| Fax Number: | 2256581304 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | MD 026232 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |