Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 022537 | LA |
NPI | 1174503569 |
---|---|
Provider Name | Perry Scott Barrilleaux |
First Address | Lafayette, LA 70508-6949 |
Second Address | Lafayette, LA 70508-6949 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 09/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1493678 | (05) | LA |
G94524 | (02) | LA |