Individual provider · NPI-1

Dr. Theodore Wensel Deblanc, M.D.

Internal Medicine · Opelousas, LA

NPI number1952506750
StatusActive
Last updated in NPPESJan 20, 2010

Details

NPI
1952506750
Entity type
Individual (NPI-1)
Name
Dr. Theodore Wensel Deblanc
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2007
Last updated
Jan 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine017665LAYes

Practice location

1270 Attakapas Dr Ste 502
Opelousas, LA 70570-6530

Phone 337-942-9977 · Fax 337-942-8006

Mailing address

1270 Attakapas Dr Ste 502
Opelousas, LA 70570-6530

Phone 337-942-9977 · Fax 337-942-8006

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