Healthcare Provider Details

I. General information

NPI: 1851216378
Provider Name (Legal Business Name): SHAUN DAUZAT SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 LEMOINE ST
MARKSVILLE LA
71351-3207
US

IV. Provider business mailing address

162 LEMOINE ST
MARKSVILLE LA
71351-3207
US

V. Phone/Fax

Practice location:
  • Phone: 318-500-1700
  • Fax:
Mailing address:
  • Phone: 318-500-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: