Individual
VINCENT GRAY VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD STE 409, BATON ROUGE, LA 70808-4365
(225) 765-5864
(225) 765-2013
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5864
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
132557
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
019633
LA
207RP1001X
Pulmonary Disease Physician
019633
LA
207RP1001X
Pulmonary Disease Physician
35304
AL
207RP1001X
Pulmonary Disease Physician
41750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00467144
RR MCR PTAN
TX
Enumeration date
06/27/2006
Last updated
01/12/2023
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