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NPI Code Detail

MEDICARE: MR. FRANK R BACQUE M.D.

MEDICARE:  MR. FRANK R BACQUE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist011987LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093794299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANK R BACQUE M.D.
Provider Business Mailing Address
First Line : 602 SAINT LANDRY ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4628
Country : US
Telephone Number : 337-235-1200
Fax Number : 337-237-1021
Provider Business Practice Location Address
First Line : 602 SAINT LANDRY ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4628
Country : US
Telephone Number : 337-235-1200
Fax Number : 337-237-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 07/08/2007

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Directions to “ MR. FRANK R BACQUE M.D.” Practice Location

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