Individual
DR. RAYLAND KEVIN BEURLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(184) 730-0103
(318) 445-3510
Mailing address
PO BOX 12787, ALEXANDRIA, LA 71315-2787
(318) 473-9050
(318) 473-0086
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20112
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1958778
—
LA
01
—
20112
LA LICENSE
LA
01
—
260040912
RAILROAD MEDICARE
LA
01
—
5R012BC72
MEDICARE PTAN
LA
01
—
72-1246297
OCHSNER
AL
01
—
K6989
TX STATE LICENSE
TX
Enumeration date
06/09/2005
Last updated
10/03/2023
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