Healthcare Provider Details

I. General information

NPI: 1891404141
Provider Name (Legal Business Name): MY DOCTORS HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 PERKINS RD STE C2
BATON ROUGE LA
70808-4284
US

IV. Provider business mailing address

9655 PERKINS RD STE C-260
BATON ROUGE LA
70810-1533
US

V. Phone/Fax

Practice location:
  • Phone: 225-449-9606
  • Fax: 225-217-3437
Mailing address:
  • Phone: 225-449-9606
  • Fax: 225-217-3437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAULETTE LUCILLE GREY
Title or Position: OWNER
Credential: MD
Phone: 410-963-9852