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Contact Information

MALCOLM J STUBBS MD LLC
1103 KALISTE SALOOM RD STE 102
LAFAYETTE, LA70508-5784
 Phone: 479-636-9702
 Fax: 877-427-2307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MALCOLM J STUBBS MD LLC

NPI # 1649781436
LBN Legal business name MALCOLM J STUBBS MD LLC
Authorized official MACKENZIE HAHN - (NCPDP COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2017
Last updated 11/15/2017 - About 9 years ago
Identifiers
LA License # 10732R
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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