Provider Demographics
NPI:1457798308
Name:SOUTHWEST SURGERY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:SOUTHWEST SURGERY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:DOUMITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-824-8282
Mailing Address - Street 1:1636 ELTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-3648
Mailing Address - Country:US
Mailing Address - Phone:337-824-8282
Mailing Address - Fax:
Practice Address - Street 1:1636 ELTON RD STE 201
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:LA
Practice Address - Zip Code:70546-3648
Practice Address - Country:US
Practice Address - Phone:337-824-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-02
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty