Organization
GUIDCO MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GUIDRY M.D. (OWNER)
(225) 955-5158
Entity
Organization
Contact information
Practice address
2400 HOSPITAL DR, SUITE 130, BOSSIER CITY, LA 71111-2385
(318) 212-7990
Mailing address
2830 COVINGTON CIR, SHREVEPORT, LA 71106-8294
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
300758
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300758
LICENSE
LA
Enumeration date
02/10/2017
Last updated
02/10/2017
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