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NPI Code Detail

MEDICARE: DR. LOUIS HOWARD NIX M.D.

MEDICARE: DR. LOUIS HOWARD NIX 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
1207R00000XInternal Medicine Physician015719LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1015719OTHERLAMEDICAL LICENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306801576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS HOWARD NIX M.D.
Provider Business Mailing Address
First Line : ALEXANDRIA VAHCS - LAFAYETTE CAMPUS A CBOC
Second Line : 3149 AMBASSADOR CAFFERY PARKWAY
City : LAFAYETTE
State : LA
Zip : 70506-7209
Country : US
Telephone Number : 337-706-3415
Fax Number :
Provider Business Practice Location Address
First Line : 3149 AMBASSADOR CAFFERY PKWY
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-7209
Country : US
Telephone Number : 337-706-3415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 10/03/2024

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