Individual
NICOLAS VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1990 INDUSTRIAL BLVD., HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Mailing address
1440 CANAL STREET, TB-53, NEW ORLEANS, LA 70112-2272
(504) 988-2201
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.204964
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507814
—
LA
Enumeration date
02/17/2008
Last updated
10/04/2012
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