Individual
BYRON J GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Mailing address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA04446
TX
363AM0700X
Medical Physician Assistant
Primary
PA.200159
LA
363AS0400X
Surgical Physician Assistant
PA.200159
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038351
—
LA
Enumeration date
10/12/2006
Last updated
02/25/2013
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