Frank R Bacque
SOUTHERN UROLOGY, LLC


Address: 602 Saint Landry St, Lafayette, LA 70506-4628
Phone: 3372351200

Frank R Bacque (NPI# 1093794299, PAC ID# 0840293551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1093794299
PAC ID by PECOS 0840293551
Professional Enrollment ID I20060818000478
Full Name Frank R Bacque
Organization Legal Name SOUTHERN UROLOGY, LLC
Address 602 Saint Landry St
Lafayette
LA 70506-4628
Phone Number 3372351200
Gender M
Credential MD
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1972
Primary Specialty UROLOGY
Group Practice PAC ID 5597833772
Number of Group Practice Members 25
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190102 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
190064 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
190002 LAFAYETTE GENERAL MEDICAL CENTER

Other Locations

Address Phone Organization
120 Rue Louis Xiv, Lafayette, LA 70508-5739 3377697779 SOUTHERN UROLOGY, LLC
602 Saint Landry St, Lafayette, LA 70506-4628 3372351200 SOUTHERN UROLOGY, LLC

Organization Information

Organization Legal Name SOUTHERN UROLOGY, LLC
Physicians 24

Physicians with the same organization

Name Specialty Organization Address
Laura Gamble Owens Urology Southern Urology, LLC 1926 S Union St, Opelousas, LA 70570-5725
Scott Neusetzer Urology Southern Urology, LLC 1016 Coolidge Blvd, Lafayette, LA 70503-2436
Marcel Lahaye Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Samuel H Shuffler Urology Southern Urology, LLC 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503-2460
Jason Bourque Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
William B Roth Urology Southern Urology, LLC 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503-2460
Jacob Edward Landry General Surgery Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
David A Jones Radiation Oncology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jeffrey J Thibodeaux Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jeannette Chassaignac Urology Southern Urology, LLC 1016 Coolidge Blvd, Lafayette, LA 70503-2436

Office Location

Street Address 602 SAINT LANDRY ST
City LAFAYETTE
State LA
Zip 70506-4628

Physicians in the same zip code

Name Specialty Organization Address
Daniel J Frey General Surgery 501 W St Mary Blvd, Suite 420, Lafayette, LA 70506
Raphael J Higginbotham Nephrology Kidney Treatment Options Center of Lafayette, LLC 301 Alcide Dominique Dr, Lafayette, LA 70506-1052
Michael K Liu Nephrology Kidney Treatment Options Center of Lafayette, LLC 301 Alcide Dominique Dr, Lafayette, LA 70506-1052
Danna P Halpin Clinical Social Worker 2310 W Saint Mary Blvd, Lafayette, LA 70506-2512
John J Broussard Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Roberta B Schexnailder Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Maisie M Hargett Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Michael N Sheffield Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Amanda H Wallace Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Roxanne H Touchet Physical Therapy Mts-lgh Therapy Services LLC 2115 Dulles Dr, Lafayette, LA 70506-2652
Find all physicians in zip 70506

Competitor

Search similar physicians

City LAFAYETTE
Zip Code 70506
Specialty UROLOGY
City + Specialty LAFAYETTE + UROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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