West Jefferson Radiation Oncology,Llc in Thibodaux - Specialist
West Jefferson Radiation Oncology,Llc - NPI 1154388163
West Jefferson Radiation Oncology,Llc is a Specialist in Thibodaux, Louisiana. West Jefferson Radiation Oncology,Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for West Jefferson Radiation Oncology,Llc is 1154388163. The last update date is 2020-08-22.
West Jefferson Radiation Oncology,Llc's current location address is Po Box 1016, Thibodaux, Louisiana. You can contact this provider via phone number 9854934338 and fax number 9854492524. The mailing address for West Jefferson Radiation Oncology,Llc is Po Box 1016, Thibodaux, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Jefferson Radiation Oncology,Llc |
|---|---|
| Address | Po Box 1016, Thibodaux, Louisiana |
| Phone Number | 9854934338 |
| Fax Number | 9854492524 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gould Clay Raymond |
| Credentials | MD |
| Telephone Number | 9854934338 |
NPI Number Detail
| NPI Number | 1154388163 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1016 |
|---|---|
| City | Thibodaux |
| State | Louisiana (LA) |
| Post Code | 703021016 |
| Phone Number | 9854934338 |
| Fax Number | 9854492524 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the West Jefferson Radiation Oncology,Llc's 1154388163?
The West Jefferson Radiation Oncology,Llc's NPI (National Provider Identifier) Number is 1154388163. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where West Jefferson Radiation Oncology,Llc is located?
The West Jefferson Radiation Oncology,Llc is situated at the following address: Po Box 1016, Thibodaux, LA, 703021016.
What is the West Jefferson Radiation Oncology,Llc's area of specialization and corresponding taxonomy classification?
The West Jefferson Radiation Oncology,Llc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date was the 1154388163 assigned to West Jefferson Radiation Oncology,Llc?
The West Jefferson Radiation Oncology,Llc was issued its 1154388163 on 2006-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the West Jefferson Radiation Oncology,Llc's information last updated?
The West Jefferson Radiation Oncology,Llc's information was last updated on 2020-08-22.
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