Provider Demographics
NPI:1578719415
Name:RICHARD A MORVANT JR MD APMC
Entity Type:Organization
Organization Name:RICHARD A MORVANT JR MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORVANT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:985-447-8165
Mailing Address - Street 1:806 BAYOU LN
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4906
Mailing Address - Country:US
Mailing Address - Phone:985-447-8165
Mailing Address - Fax:
Practice Address - Street 1:806 BAYOU LN
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-4906
Practice Address - Country:US
Practice Address - Phone:985-447-8165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty