Healthcare Provider Details

I. General information

NPI: 1013303056
Provider Name (Legal Business Name): DHP OF LOUISIANA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 4TH ST
ALEXANDRIA LA
71301-8421
US

IV. Provider business mailing address

265 BROOKVIEW CENTRE WAY STE 203
KNOXVILLE TN
37919-4053
US

V. Phone/Fax

Practice location:
  • Phone: 864-275-5049
  • Fax: 919-655-1330
Mailing address:
  • Phone: 865-693-1000
  • Fax: 865-560-7359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: TRICIA GUIDRY
Title or Position: PRESIDENT
Credential: MD
Phone: 337-515-1111