Individual
PATRICK SHAWN BAQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 ANDRE ST STE 205, NEW IBERIA, LA 70563-2159
(337) 560-1750
(337) 560-4241
Mailing address
1100 ANDRE ST STE 205, NEW IBERIA, LA 70563-2159
(337) 560-1750
(337) 560-4241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026119
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052736
—
LA
01
—
7424615
AETNA
LA
Enumeration date
07/04/2006
Last updated
06/19/2019
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