Individual
MIGUEL A DEPUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5727
(337) 436-3813
(337) 439-0214
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
014379
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1393606
—
LA
Enumeration date
09/20/2006
Last updated
01/30/2017
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