Individual
MARY ANGELA MAYEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 W CONGRESS ST STE 3100, LAFAYETTE, LA 70506-6771
(337) 703-3201
(337) 703-3202
Mailing address
PO BOX 919229, DALLAS, TX 75391-9229
(337) 289-8944
(337) 571-0030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019577
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1379425
—
LA
Enumeration date
07/08/2005
Last updated
09/19/2019
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