Provider Demographics
NPI:1629175633
Name:CENAC, WILLIAM ANDRE' (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANDRE'
Last Name:CENAC
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1307 OLD JEANERETTE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-5800
Mailing Address - Country:US
Mailing Address - Phone:337-364-3000
Mailing Address - Fax:337-364-5333
Practice Address - Street 1:1307 OLD JEANERETTE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-5800
Practice Address - Country:US
Practice Address - Phone:337-364-3000
Practice Address - Fax:337-364-5333
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
LA017658207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1358941Medicaid
LA1358941Medicaid
LAB63767Medicare UPIN