Individual
PAUL TAYLOR GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 LINE AVE STE 204, SHREVEPORT, LA 71101-4648
(318) 300-4926
(318) 383-3951
Mailing address
1500 LINE AVE STE 204, SHREVEPORT, LA 71101-4648
(318) 300-4926
(318) 383-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
300758
LA
208M00000X
Hospitalist Physician
300758
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2012
Last updated
09/21/2022
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