Organization
MARIA M BRAUD MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA M BRAUD M.D. (OWNER)
(985) 447-1216
Entity
Organization
Contact information
Practice address
970 S ACADIA RD, STE C, THIBODAUX, LA 70301-4978
(985) 447-1216
(985) 447-1218
Mailing address
970 S ACADIA RD, STE C, THIBODAUX, LA 70301-4978
(985) 447-1216
(985) 447-1218
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
023028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1483265
—
LA
Enumeration date
05/04/2010
Last updated
05/04/2010
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