Jeanne Dauphine Theriot in Breaux Bridge - Family Medicine
Jeanne Dauphine Theriot - NPI 1093763625
Jeanne Dauphine Theriot is a Family Medicine in Breaux Bridge, Louisiana. Jeanne Dauphine Theriot practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeanne Dauphine Theriot is 1093763625. The last update date is 2014-02-12.
Jeanne Dauphine Theriot's current location address is 112 Champagne Blvd, Breaux Bridge, Louisiana. You can contact this provider via phone number 3373322242 and fax number 3373324074. The mailing address for Jeanne Dauphine Theriot is 112 Champagne Blvd, Breaux Bridge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne Dauphine Theriot |
|---|---|
| Address | 112 Champagne Blvd, Breaux Bridge, Louisiana |
| Phone Number | 3373322242 |
| Fax Number | 3373324074 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093763625 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2014-02-12 |
Provider Mailing Address Detail
| Address | 112 Champagne Blvd |
|---|---|
| City | Breaux Bridge |
| State | Louisiana (LA) |
| Post Code | 705173852 |
| Phone Number | 3373322242 |
| Fax Number | 3373324074 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 200073 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1062472 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeanne Dauphine Theriot by the Centers for Medicare & Medicaid Services?
The Jeanne Dauphine Theriot has been issued the NPI (National Provider Identifier) 1093763625 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeanne Dauphine Theriot?
The Jeanne Dauphine Theriot is situated at 112 Champagne Blvd, in the city of Breaux Bridge, state of LA, with the zip code 705173852.
What is Jeanne Dauphine Theriot's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeanne Dauphine Theriot is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Jeanne Dauphine Theriot receive its 1093763625 assignment from the Centers for Medicare & Medicaid Services?
The Jeanne Dauphine Theriot was assigned its 1093763625 by the Centers for Medicare & Medicaid Services on 2006-05-05.
As of what date were the Jeanne Dauphine Theriot's details last updated?
The information pertaining to the Jeanne Dauphine Theriot, including its address, specialty, and other details, was most recently updated on 2014-02-12.