# BRAUD FAMILY PRACTICE, LLC

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

## Provider details

- **NPI number:** 1821476615
- **Authorized official:** REBECCA L BRAUD M.D. (OWNER)
- **Authorized official phone:** (337) 527-2491

## Contact information

- **Practice address:** 622 CYPRESS ST, SULPHUR, LA 70663-5052
- **Practice address phone:** (337) 527-2491
- **Practice address fax:** (337) 528-2749
- **Mailing address:** 622 CYPRESS ST, SULPHUR, LA 70663-5052
- **Mailing address phone:** (337) 527-2492
- **Mailing address fax:** (337) 528-2749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 206484 | LA | Yes |

## Other

- **Enumeration date:** 05/12/2015
- **Last updated:** 05/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2199072 | — | LA |