Braden Conrad Despot in Lafayette - Family Medicine

Braden Conrad Despot - NPI 1063692481

Braden Conrad Despot is a Family Medicine in Lafayette, Louisiana. Braden Conrad Despot practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Braden Conrad Despot is 1063692481. The last update date is 2007-11-14.

Braden Conrad Despot's current location address is Po Box 53381, Lafayette, Louisiana. You can contact this provider via phone number 3372339199 and fax number 3372339198. The mailing address for Braden Conrad Despot is Po Box 53381, Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Braden Conrad Despot
Address Po Box 53381, Lafayette, Louisiana
Phone Number 3372339199
Fax Number 3372339198
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1063692481
Provider Enumeration Date 2007-11-14
Last Updated Date 2007-11-14

Provider Mailing Address Detail

Address Po Box 53381
City Lafayette
State Louisiana (LA)
Post Code 705053381
Phone Number 3372339199
Fax Number 3372339198

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 16181
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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FAQs about Braden Conrad Despot

What is the unique 10-digit identification code issued to Braden Conrad Despot by the Centers for Medicare & Medicaid Services?

The Braden Conrad Despot has been assigned the NPI (National Provider Identifier) 1063692481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Braden Conrad Despot is physically located?

The Braden Conrad Despot is physically situated at the following address: Po Box 53381, Lafayette, LA, 705053381.

What is the Braden Conrad Despot's area of specialization and corresponding taxonomy classification?

The Braden Conrad Despot's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did Braden Conrad Despot receive its 1063692481 assignment from the Centers for Medicare & Medicaid Services?

The Braden Conrad Despot was assigned its 1063692481 on 2007-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Braden Conrad Despot most recently updated or revised?

The details related to Braden Conrad Despot, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-14.

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