Organization · Type 2 NPI

Mid State Orthopaedic & Sports Medicine Center, LLC

Orthopaedic Surgery Physician · Alexandria, LA

NPI number 1104890052 Active

Practice location

3444 Masonic Drive
Alexandria, LA 71301

Fax (318) 441-8339

Other practice locations

  • 429 Rocky Bayou Dr, Pineville, LA 71360-8133 · (318) 441-8329

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

12 other providers at this address

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About NPI 1104890052

Mid State Orthopaedic & Sports Medicine Center, LLC's National Provider Identifier is 1104890052, issued on Feb 16, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Alexandria, LA. The record was last updated on Mar 24, 2026.