Individual
DR. ROLAND WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 HOUMA BLVD, EMERGENCY DEPARTMENT, METAIRIE, LA 70006-2970
(210) 614-0180
(210) 566-5698
Mailing address
4200 HOUMA BLVD, METAIRIE, LA 70006-2996
(504) 503-5684
(504) 503-5428
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
024976
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1422339
—
LA
01
—
H4048Z
BCBS
LA
Enumeration date
04/28/2006
Last updated
02/19/2025
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