Individual
DR. HORACE JAY COLLINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 100, BATON ROUGE, LA 70806-7851
(225) 765-5633
(225) 765-5634
Mailing address
8415 GOODWOOD BLVD, SUITE 100, BATON ROUGE, LA 70806-7851
(225) 765-5633
(225) 765-5634
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016171
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336262
—
LA
Enumeration date
07/18/2005
Last updated
02/15/2021
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