Individual
JASON J. BRAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 RYAN ST, SUITE 105, LAKE CHARLES, LA 70601-6078
(337) 439-4706
Mailing address
1800 RYAN ST, SUITE 105, LAKE CHARLES, LA 70601-6078
(337) 439-4706
(337) 439-8110
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
205347
LA
2085R0202X
Diagnostic Radiology Physician
N0658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2194585
—
LA
Enumeration date
07/17/2007
Last updated
11/29/2021
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