Individual
DR. MAXIE A TRAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 N EASTERN AVE, CROWLEY, LA 70526-3856
(337) 783-1629
(337) 783-1137
Mailing address
717 N EASTERN AVE, CROWLEY, LA 70526-3856
(337) 783-1629
(337) 783-1137
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.206805
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1928151
—
LA
Enumeration date
04/27/2009
Last updated
09/08/2020
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