Individual
CRAIG MICHAEL BILLIOT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
346 T LEIGH DR, HOUMA, LA 70364-4006
(985) 870-0283
Mailing address
346 T LEIGH DR, HOUMA, LA 70364-4006
(985) 870-0283
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YYQ108050522001
HIGHMARK
—
Enumeration date
01/09/2019
Last updated
01/09/2019
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