Individual
JAMES BURTON GODCHAUX SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
856 KALISTE SALOOM RD STE B, LAFAYETTE, LA 70508-4395
(337) 593-9500
(337) 593-0909
Mailing address
P.O. BOX 974150, DALLAS, TX 75397-4150
(337) 593-9500
(337) 593-0909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
011929
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164798
—
LA
Enumeration date
11/23/2005
Last updated
11/09/2009
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