Individual
MR. TRAVIS MARK DAUZAT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1150 ROBERT BLVD, SLIDELL, LA 70458-2004
(318) 305-6712
Mailing address
732 ANDRUS ST, MARKSVILLE, LA 71351-2270
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
LA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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