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Contact Information

E. PAUL BREAUX III MD PMC
917 COOLIDGE BLVD
LAFAYETTE, LA70503-2433
 Phone: 337-237-5774
 Fax: 337-237-4939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Family

363LF0000X 50 Nurse Practitioner
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for E. PAUL BREAUX III MD PMC

NPI # 1316991722
LBN Legal business name E. PAUL BREAUX III MD PMC
Authorized official EDGAR BREAUX - (OWNER/MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2006
Last updated 07/13/2007 - About 19 years ago
Identifiers
LA Medicaid 1799467
LA Other DE1593 GROUP RAILROAD MEDICARE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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