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Organization

HAYDEL ASTHMA & ALLERGY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT DOUGLAS HAYDEL JR. M. D. (OFFICER/DIRECTOR)
(985) 868-7566
Entity
Organization

Contact information

Practice address
869 VERRET ST, HOUMA, LA 70360-4635
(985) 868-7566
(985) 851-4778
Mailing address
869 VERRET ST, HOUMA, LA 70360-4635
(985) 868-7566
(985) 851-4778

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
019894
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1966444
LA
Enumeration date
10/24/2006
Last updated
03/06/2008
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