Individual
DR. JOHN AUSTIN LAHOURCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 E HOUSTON ST STE 530, TYLER, TX 75702
(903) 606-5560
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q6644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676398
MEDICARE
TX
01
—
8JP845
BCBS
TX
Enumeration date
06/09/2011
Last updated
07/23/2018
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