Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 4944 | LA |
NPI | 1033235213 |
---|---|
Provider Name | Dr. Barry Joseph Cazaubon |
First Address | Metairie, LA 70006-2308 |
Second Address | Metairie, LA 70006-2308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 18/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
192254 | UNITED CONCORDIA (01) | LA |
670-13685 | BCBS AL (01) | AL |
86D481 | BCBS OF TX (01) | TX |