| Jacob L Breaux, Md, Llc | |
|
1211 Coolidge Blvd Ste 303 Lafayette LA 70503-2636 | |
| (337) 708-2794 | |
| (337) 232-6605 |
| Full Name | Jacob L Breaux, Md, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1211 Coolidge Blvd Ste 303, Lafayette, Louisiana |
| Authorized Official Name and Position | Jacob Lee Breaux (OWNER) |
| Authorized Official Contact | 3378042794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob L Breaux, Md, Llc 1211 Coolidge Blvd Ste 303 Lafayette LA 70503-2636 Ph: (337) 708-2794 | Jacob L Breaux, Md, Llc 1211 Coolidge Blvd Ste 303 Lafayette LA 70503-2636 Ph: (337) 708-2794 |
| NPI Number | 1881191393 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881191393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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