Organization
HOUMA ORTHOPEDIC CLINIC/OPEN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIME E GAUDET NP (NURSE PRACTITIONER)
(985) 868-1540
Entity
Organization
Contact information
Practice address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
(985) 876-0759
Mailing address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
(985) 876-0759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN095604
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962779470
NPI
LA
Enumeration date
05/15/2014
Last updated
05/21/2014
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