| Organization Name: | J & A LEGROS ENTERPRISES LLC |
| NPI Number: | 1235595778 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIMMY LEGROS (OWNER) |
| Mailing Address: | 731 S Main St Suite A Church Point |
| State: | LA US |
| Postal Code: | 705254109 |
| Phone Number: | 3376840911 |
| Fax Number: | 3376840912 |
| NPI Enumeration Date: | 01/14/2016 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP03265 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |