Individual
JACOB ANTOINE NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7094
(985) 873-2200
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(888) 815-2005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
325893
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
06/15/2021
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