Individual
DR. MICHAEL ANTHONY TRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 DR MICHAEL DEBAKEY DR, STE 200, LAKE CHARLES, LA 70601-5785
(337) 436-6100
(337) 436-6190
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2625
(469) 282-2625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
014217
LA
207Q00000X
Family Medicine Physician
Primary
MD.014217
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1177253
—
LA
Enumeration date
01/04/2006
Last updated
06/19/2014
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