Healthcare Provider Details
I. General information
NPI: 1245238021
Provider Name (Legal Business Name): FRANK C CAILLET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/14/2005
Last Update Date: 01/08/2025
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4630 AMBASSADOR CAFFERY PKWY STE 408
LAFAYETTE LA
70508-6950
US
IV. Provider business mailing address
5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US
V. Phone/Fax
- Phone: 337-470-4653
- Fax: 337-470-8319
- Phone: 337-470-4653
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 023036 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: