Individual
TERRY JOSEPH DELORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Mailing address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
020831
LA
207R00000X
Internal Medicine Physician
Primary
MD.020831
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09050217
—
MS
01
—
110171895
RAILROAD MEDICARE
LA
05
—
1965553
—
LA
01
—
43398074
CHAMPUS
LA
Enumeration date
06/29/2006
Last updated
08/29/2014
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