Healthcare Provider Details

I. General information

NPI: 1003309493
Provider Name (Legal Business Name): BRITTON POSTLETHWAITE BEATROUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 LAKEVIEW CT
COVINGTON LA
70433-7522
US

IV. Provider business mailing address

350 LAKEVIEW CT STE A
COVINGTON LA
70433-7524
US

V. Phone/Fax

Practice location:
  • Phone: 985-845-2677
  • Fax: 985-867-5498
Mailing address:
  • Phone: 985-845-2677
  • Fax: 985-867-5498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number335029
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: