Dr. Tomas Humberto Jacome Jr., MD
Surgery in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1477554079
StatusActive
Last updated in NPPESMar 26, 2021
Details
- NPI
- 1477554079
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tomas Humberto Jacome Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2005
- Certification date
- Mar 26, 2021
- Last updated
- Mar 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 025420 | LA | Yes |
| 2086S0102X | Surgery, Surgical Critical Care | 025420 | LA |
Practice location
7777 Hennessy Blvd Ste 102Baton Rouge, LA 70808-4363
Phone 225-765-2048 · Fax 225-765-1958
Mailing address
7777 Hennessy Blvd Ste 102Baton Rouge, LA 70808-4363
Phone 225-765-2048 · Fax 225-765-1958
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