person
Dr. Jack L. Breaux JR., MD
Specialist in Baton Rouge, Louisiana
NPI 1720081193

Jack L. Breaux JR. is a Specialist based in Thibodaux, LA. Jack L. Breaux JR. practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Jack L. Breaux JR. is 1720081193 and holds a License No. 013762 (Louisiana).

The current practice location address for Jack L. Breaux JR. is 8080 Bluebonnet Blvd, Baton Rouge, LA and can be reached out via phone at 225-769-2222 and via fax at 225-757-8061. You can also correspond with Jack L. Breaux JR. through the mailing address at 604 N ACADIA RD STE 101, THIBODAUX, LA - 70301-4897 (mailing address contact number: 985-446-5079).

Location: 8080 Bluebonnet Blvd, Baton Rouge, LA, 70301-4897
person
Provider Profile Details
NPI Number
1720081193
Provider Name
Jack L. Breaux JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8080 Bluebonnet Blvd, Baton Rouge, LA, 70301-4897
Phone Number
225-769-2222
Fax Number
225-757-8061
Provider Enumeration Date
05/31/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1185761 05 LA
institution
Provider Business Practice Location Address Details
Address
8080 Bluebonnet Blvd
City
State
Zip
70810-7828
Phone Number
225-769-2222
Fax Number
225-757-8061
person
Provider Business Mailing Address Details
Address
8080 Bluebonnet Blvd
City
State
Zip
70810-7828
Phone Number
225-769-2222
Fax Number
225-757-8061
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
013762 (Louisiana)
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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