Individual
MR. JASON A BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
457 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 237-5774
(337) 237-4940
Mailing address
457 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 237-5774
(337) 237-4940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.026385
LA
208600000X
Surgery Physician
Primary
MD434211
PA
2086X0206X
Surgical Oncology Physician
MD.026385
LA
390200000X
Student in an Organized Health Care Education/Training Program
26385
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058122
—
LA
Enumeration date
07/26/2007
Last updated
12/17/2020
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