| Organization Name: | MEDXCEL LETRIOMPHE, L.L.C. |
| NPI Number: | 1619161528 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT DESORMEAUX (OWNER) |
| Mailing Address: | 174 Heritage Ste H Broussard |
| State: | LA US |
| Postal Code: | 705188046 |
| Phone Number: | 3378567500 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2007 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD021637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |