Organization
QUENTIN D. FALGOUST, MD, AMC
Active
Other names
Plaza Optical
Organization subpart
No
Provider details
NPI number
Authorized official
QUENTIN D FALGOUST M.D. (PRESIDENT)
(985) 446-0506
Entity
Organization
Contact information
Practice address
1101 AUDUBON AVE, STE N5, THIBODAUX, LA 70301-4957
(985) 446-0506
(985) 446-7614
Mailing address
1101 AUDUBON AVE, STE N5, THIBODAUX, LA 70301-4957
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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