Robert D Bostick JR.
Adolescent Medicine
107 Maryland Drive
Luling
, Louisiana 70070
Robert D Bostick JR.
Adolescent Medicine
107 Maryland Drive
Luling
, Louisiana 70070
(504) 349-6415
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Robert D Bostick JR.
- 107 Maryland Drive
- Luling, LA
- Zip : 70070
- Fax : (504) 349-6415
- Phone : (504) 349-6411
Second Address
- Robert D Bostick JR.
- 107 Maryland Drive
- Luling, LA
- Zip : 70070
- Fax : (504) 349-6415
- Phone : (504) 349-6411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 010641 | LA |
National Provider Identifier
| NPI | 1235130386 |
|---|---|
| Provider Name | Robert D Bostick JR. |
| First Address | Luling, LA 70070 |
| Second Address | Luling, LA 70070 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 20/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1118796 | (05) | LA |
| F84394 | (02) | 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.