Andree Celeste Breaux in Shreveport - Physician Assistant

Andree Celeste Breaux - NPI 1639199672

Andree Celeste Breaux is a Physician Assistant in Shreveport, Louisiana. Andree Celeste Breaux practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andree Celeste Breaux is 1639199672. The last update date is 2010-09-03.

Andree Celeste Breaux's current location address is 1501 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3188132528 and fax number 3188132565. The mailing address for Andree Celeste Breaux is 1501 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Andree Celeste Breaux
Address 1501 Kings Hwy, Shreveport, Louisiana
Phone Number 3188132528
Fax Number 3188132565
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1639199672
Provider Enumeration Date 2006-07-20
Last Updated Date 2010-09-03

Provider Mailing Address Detail

Address 1501 Kings Hwy
City Shreveport
State Louisiana (LA)
Post Code 711034228
Phone Number 3188132528
Fax Number 3188132565

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No A10306
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1626392 LA --

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FAQs about Andree Celeste Breaux

What is the unique provider identifier assigned to Andree Celeste Breaux?

The Andree Celeste Breaux has been issued the NPI (National Provider Identifier) 1639199672 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Andree Celeste Breaux's facilities are geographically located?

The facilities of Andree Celeste Breaux are physically situated at the following location: 1501 Kings Hwy, Shreveport, LA, 711034228.

What is the area of specialization for Andree Celeste Breaux, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Andree Celeste Breaux is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date was the 1639199672 assigned to Andree Celeste Breaux?

The Andree Celeste Breaux was issued its 1639199672 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Andree Celeste Breaux, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Andree Celeste Breaux, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-03.

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