Organization
JASON A. BREAUX, M.D., A.P.M.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET FABRE (ADMINISTRATOR)
(337) 237-5774
Entity
Organization
Contact information
Practice address
457 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 237-5774
(337) 237-4939
Mailing address
457 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 237-5774
(337) 237-4939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD434211
PA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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