Individual
PAUL CARY AGUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1702 N BURNSIDE AVE, GONZALES, LA 70737-2141
(225) 647-8319
(225) 644-5213
Mailing address
1702 N BURNSIDE AVE, GONZALES, LA 70737-2141
(225) 647-8319
(225) 644-5213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
09731R
LA
208000000X
Pediatrics Physician
Primary
09731R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1984329
—
LA
Enumeration date
07/12/2005
Last updated
11/16/2010
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