Individual
DR. JUAN CARLOS TERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8462
(337) 312-6708
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35109
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2384864
—
LA
Enumeration date
05/20/2006
Last updated
01/30/2017
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