Individual
MR. XAVIER RENE MOUSSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5727
(337) 439-5800
(337) 439-0003
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD.15365R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175609
—
LA
Enumeration date
02/03/2006
Last updated
09/17/2016
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