Individual provider · NPI-1

Floyd Anthony Gaspard Jr., R.N.

Registered Nurse, Registered Nurse First Assistant · Lake Charles, LA

NPI number1093849515
StatusActive
Last updated in NPPESMar 30, 2016

Details

NPI
1093849515
Entity type
Individual (NPI-1)
Name
Mr. Floyd Anthony Gaspard Jr.
Credential
R.N.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 15, 2007
Last updated
Mar 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First AssistantRN081384LAYes

Practice location

2770 3rd Ave
Suite 225
Lake Charles, LA 70601

Phone 337-494-3100 · Fax 337-494-3101

Mailing address

Po Box 122425
Dept 2425
Dallas, TX 75312-2425

Phone 337-494-3100 · Fax 337-494-3101

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