Individual
MR. BRADLEY PAUL CHAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1340 GRAND CAILLOU RD, HOUMA, LA 70363-5558
(985) 262-4424
Mailing address
219 JOSHUA REED DR, HOUMA, LA 70360-8930
(985) 209-2203
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10260RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626783
—
LA
Enumeration date
09/20/2006
Last updated
01/07/2016
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