Individual
TODD A DEVALCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4212 W CONGRESS ST STE 3100, LAFAYETTE, LA 70506-6771
(337) 703-3201
(337) 703-3202
Mailing address
PO BOX 919229, DALLAS, TX 75391-9229
(337) 703-3201
(337) 703-3202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
P.A.A10538
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00249834
RAILROAD
LA
Enumeration date
06/10/2006
Last updated
09/19/2019
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