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Individual

GENE THOMAS CALLAIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
811 D&E ALBERTSON PARKWAY, BROUSSARD, LA 70518
(337) 470-3560
(337) 837-2551
Mailing address
805 ALBERTSON PKWY STE B, BROUSSARD, LA 70518-4350
(337) 470-3560
(337) 837-2551

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.207240
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2374991
LA
Enumeration date
08/12/2012
Last updated
02/15/2021
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