Individual
CARLOS A BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 ALBERTSON PKWY, SUITE A, BROUSSARD, LA 70518-5256
(337) 839-2265
(337) 839-2213
Mailing address
811 ALBERTSONS PARKWAY, SUITE A, BROUSSARD, LA 70518
(337) 839-2265
(337) 839-2213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022562
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1498882
—
LA
01
—
1538153135
NPI
LA
Enumeration date
09/09/2005
Last updated
02/13/2015
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