Organization
NATCHITOCHES MEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN A PICOU MD (PRESIDENT)
(318) 352-2971
Entity
Organization
Contact information
Practice address
505 ROYAL ST STE B, NATCHITOCHES, LA 71457-5728
(318) 352-2971
(318) 356-0850
Mailing address
505 ROYAL ST STE B, NATCHITOCHES, LA 71457-5728
(318) 352-2971
(318) 356-0850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101803
—
LA
01
—
6443890001
DME PTAN
LA
Enumeration date
07/07/2009
Last updated
10/19/2024
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