Dr. Kristal Bourgeois Guidroz
Dermatologist
327 Bayou Gardens Blvd
Houma
, Louisiana 70364-1434
Dr. Kristal Bourgeois Guidroz
Dermatologist
327 Bayou Gardens Blvd
Houma
, Louisiana 70364-1434
(985) 876-5280
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Kristal Bourgeois Guidroz
- 327 Bayou Gardens Blvd
- Houma, LA
- Zip : 70364-2635
- Fax : (985) 876-5280
- Phone : (985) 876-5000
Second Address
- Dr. Kristal Bourgeois Guidroz
- 327 Bayou Gardens Blvd
- Houma, LA
- Zip : 70364-1434
- Fax : (985) 876-5280
- Phone : (985) 876-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 202515 | LA |
National Provider Identifier
| NPI | 1053595702 |
|---|---|
| Provider Name | Dr. Kristal Bourgeois Guidroz |
| First Address | Houma, LA 70364-2635 |
| Second Address | Houma, LA 70364-1434 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2007 |
| Last Update Date | 19/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1002330 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.