Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgeon | 200218 | LA |
N | 208200000X | Surgeon | 200218 | LA |
N | 208600000X | Surgeon | 200218 | LA |
Y | 208200000X | Surgeon | MD.200218 | LA |
Y | 208600000X | Surgeon | MD.200218 | LA |
NPI | 1114121639 |
---|---|
Provider Name | Hugo St Hilaire |
First Address | New Orleans, LA 70115-8235 |
Second Address | New Orleans, LA 70115-8235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08534755 | (05) | MS |
1238767 | (05) | LA |