Individual
JAMES D DAUZART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 ANDRE ST STE 300, NEW IBERIA, LA 70563-2159
(225) 229-3407
(337) 330-2245
Mailing address
PO BOX 20452, YPS-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
591952
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02556
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003476103
—
TX
05
—
003476106
—
TX
01
—
1275561359
BCBS LA
LA
01
—
1275561359
BCBS TX
TX
05
—
1926434
—
LA
Enumeration date
06/29/2006
Last updated
08/01/2016
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