Individual
MR. ROY THOMAS COMEAUX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-4162
Mailing address
120 ROSIER ST, NEW IBERIA, LA 70563-2446
(337) 577-7501
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
074864
LA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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