# BAYOU MD, LC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003089525
- **Authorized official:** DR. BRIAN PAUL KRIER MD (OWNER/MANAGER)
- **Authorized official phone:** (888) 923-6363

## Contact information

- **Practice address:** 990 HIGHWAY 425, RAYVILLE, LA 71269-6489
- **Practice address phone:** (888) 923-6363
- **Practice address fax:** (888) 923-6363
- **Mailing address:** PO BOX 1164, RAYVILLE, LA 71269-1164
- **Mailing address phone:** (888) 923-6363
- **Mailing address fax:** (888) 923-6363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2008
- **Last updated:** 04/04/2008