Individual
CHRISTOPHER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1990 INDUSTRIAL BOULEVARD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Mailing address
2031 AUDUBON AVE, THIBODAUX, LA 70301-5073
(985) 803-8383
(985) 227-9034
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10178RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626741
—
LA
Enumeration date
09/20/2006
Last updated
06/04/2020
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