Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD.011862 | LA |
NPI | 1265528574 |
---|---|
Provider Name | Dr. Allan Garigue Cougle |
First Address | New Orleans, LA 70121 |
Second Address | Slidell, LA 70458-2039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 09/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00115293 | (05) | MS |
1175382 | (05) | LA |
B62487 | (02) | LA |