Healthcare Provider Details

I. General information

NPI: 1801809207
Provider Name (Legal Business Name): STROUD HEARING HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 07/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8754 GOODWOOD BLVD
BATON ROUGE LA
70806-7915
US

IV. Provider business mailing address

8754 GOODWOOD BLVD
BATON ROUGE LA
70806-7915
US

V. Phone/Fax

Practice location:
  • Phone: 225-928-1490
  • Fax:
Mailing address:
  • Phone: 225-928-1490
  • Fax: 225-927-2684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateLA

VIII. Authorized Official

Name: MR. HOMER KEITH STROUD
Title or Position: OWNER
Credential:
Phone: 225-928-1490