Organization
EDWARD F. BREAUX MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD F BREAUX M.D. (PHYSICIAN)
(337) 233-6665
Entity
Organization
Contact information
Practice address
1016 COOLIDGE BLVD, LAFAYETTE, LA 70503-2436
(337) 233-6665
(337) 233-0327
Mailing address
1016 COOLIDGE BLVD, LAFAYETTE, LA 70503-2436
(337) 233-6665
(337) 233-0327
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
016579
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376957
—
LA
Enumeration date
06/19/2008
Last updated
07/18/2008
Update your record
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