Individual
SETH THOMAS BILLIODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2770 3RD AVE STE 110, LAKE CHARLES, LA 70601-0404
(337) 494-4747
(337) 494-4773
Mailing address
P O BOX 122425, DEPT 2425, DALLAS, TX 75312-2425
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD202774
LA
208VP0000X
Pain Medicine Physician
Primary
202774
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1409936
—
LA
Enumeration date
05/31/2007
Last updated
10/21/2024
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