Provider Demographics
NPI:1497591135
Name:NEXUS WOUND CONSULTANTS -LOUISIANA LLC
Entity type:Organization
Organization Name:NEXUS WOUND CONSULTANTS -LOUISIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JURCA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:830-285-8882
Mailing Address - Street 1:PO BOX 738652
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-8652
Mailing Address - Country:US
Mailing Address - Phone:830-285-8882
Mailing Address - Fax:830-215-4711
Practice Address - Street 1:3867 PLAZA TOWER DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4378
Practice Address - Country:US
Practice Address - Phone:830-285-8882
Practice Address - Fax:830-215-4711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty