Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 023673 | LA |
Y | 111NI0900X | Internist | 023673 | LA |
N | 208000000X | Pediatrician | 023673 | LA |
NPI | 1003819152 |
---|---|
Provider Name | Dr. Patricia B Guidry |
First Address | New Orleans, LA 70121 |
Second Address | Covington, LA 70433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 28/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1484351 | (05) | LA |
H44082 | (02) |