# TRUDY H SANSON MD A MEDICAL CORP

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

## Provider details

- **NPI number:** 1609994714
- **Authorized official:** DR. TRUDY H SANSON M.D. (OWNER)
- **Authorized official phone:** (318) 387-0641

## Contact information

- **Practice address:** 102 THOMAS RD, SUITE 206, WEST MONROE, LA 71291-7366
- **Practice address phone:** (318) 387-0641
- **Practice address fax:** (318) 387-0645
- **Mailing address:** 102 THOMAS RD, SUITE 206, WEST MONROE, LA 71291-7366
- **Mailing address phone:** (318) 387-0641
- **Mailing address fax:** (318) 387-0645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 017870 | LA | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/04/2010