OrganizationActive
Orthopaedic and Sports Medicine Specialist
NPI 1861593436 · Sports Medicine (Orthopaedic Surgery) Physician · Alexandria, LA
Provider details
- NPI number
- 1861593436
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Rada, Billing Supervisor(318) 443-9191
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
224 Pecan Park Ave
Alexandria, LA 71303-3308
Phone: (318) 443-9191
Fax: (318) 443-4144
Approximate (ZIP-level) locationGet directions
Mailing address
224 Pecan Park Ave
Alexandria, LA 71303-3308
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.