Individual
ERIC DAVID ENGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 DUNN ST, HOUMA, LA 70360-4413
(985) 876-0300
(985) 872-0317
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
021964
LA
207RI0011X
Interventional Cardiology Physician
Primary
021964
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060054661
RR MEDICARE
LA
05
—
1551040
—
LA
Enumeration date
07/05/2005
Last updated
10/19/2015
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