Provider Demographics
NPI:1881063667
Name:WORKFORCE MEDICAL CENTER
Entity type:Organization
Organization Name:WORKFORCE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLLABORATIVE PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-312-3000
Mailing Address - Street 1:2492 S CITIES SERVICE HWY
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70665-6497
Mailing Address - Country:US
Mailing Address - Phone:337-905-1962
Mailing Address - Fax:336-905-1963
Practice Address - Street 1:2201 OLD SPANISH TRL
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:LA
Practice Address - Zip Code:70669-7800
Practice Address - Country:US
Practice Address - Phone:337-494-5150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08500261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine