Individual
DARREN SEAN COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461
(985) 646-5082
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
025441
LA
207L00000X
Anesthesiology Physician
Primary
MD.025441
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03536265
—
MS
05
—
1579301
—
LA
01
—
P00347757
RR MEDICARE
—
Enumeration date
06/10/2006
Last updated
09/02/2010
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