Individual
RYAN LEE BASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD STE 503, BATON ROUGE, LA 70808-4366
(225) 765-2273
(225) 374-0251
Mailing address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-9963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
323211
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
323211
LA
208M00000X
Hospitalist Physician
323211
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
04/19/2022
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