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SPORTSMAN'S PARADISE SURGICAL ASSISTANTS
NPI 1780285171
Physician Assistant - Surgical in Houma, LA

Active since November 03, 2020
401 LIBERTY ST, HOUMA, LA 70360(713) 589-8606 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sportsman's Paradise Surgical Assistants NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTSMAN'S PARADISE SURGICAL ASSISTANTS (NPI 1780285171) is a healthcare organization registered as a surgical in Houma, Louisiana and active in the NPI registry since November 2020. The organization lists Henry Haydel, Owner, as its authorized official.

NPPES Registry Identity

NPI1780285171
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSPORTSMAN'S PARADISE SURGICAL ASSISTANTS
Location Address401 LIBERTY STHouma, LA 70360-4617
Mailing AddressPo Box 8219The Woodlands, TX 77387-8219 · (737) 999-0321
Phone(713) 589-8606
Organization SubpartNo
Authorized OfficialHenry HaydelOwner · (713) 589-8606
Enumeration DateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1780285171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
401 LIBERTY ST, Houma, LA 70360
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID CROCKETT BLYTHE JR. DDS
Dentist (Oral and Maxillofacial Surgery)
401 LIBERTY ST
HOUMA, LA 70360
Terrebonne Parish (985) 851-3710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sportsman's Paradise Surgical Assistants's NPI number?

The NPI number for Sportsman's Paradise Surgical Assistants is 1780285171. It was assigned to this organization in the NPPES registry on November 3, 2020.

Where is Sportsman's Paradise Surgical Assistants located?

Sportsman's Paradise Surgical Assistants is located at 401 Liberty St, Houma, LA 70360. The listed phone number is (713) 589-8606.

What is Sportsman's Paradise Surgical Assistants's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Sportsman's Paradise Surgical Assistants was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.