Individual
JASON TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3975 I 49 S SERVICE RD STE 236, OPELOUSAS, LA 70570-0776
(337) 594-6002
(888) 491-1354
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(877) 795-9281
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD.307218
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2329839
—
LA
Enumeration date
03/20/2013
Last updated
07/30/2018
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