Organization
JACOB L BREAUX, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB LEE BREAUX MD (OWNER)
(337) 804-2794
Entity
Organization
Contact information
Practice address
1211 COOLIDGE BLVD STE 303, LAFAYETTE, LA 70503-2636
(337) 708-2794
(337) 232-6605
Mailing address
1211 COOLIDGE BLVD STE 303, LAFAYETTE, LA 70503-2636
(337) 708-2794
(337) 232-6605
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
08/17/2018
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