Healthcare Provider Details
I. General information
NPI: 1407980089
Provider Name (Legal Business Name): RICHARD W. RICHOUX M.D, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 N CARROLLTON AVE SUITE D
NEW ORLEANS LA
70119-4700
US
IV. Provider business mailing address
601 N CARROLLTON AVE SUITE D
NEW ORLEANS LA
70119-4700
US
V. Phone/Fax
- Phone: 504-269-9090
- Fax: 504-288-5575
- Phone: 504-269-9090
- Fax: 504-288-5575
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
WILLIAM
RICHOUX
Title or Position: PSYCHIATRIST
Credential: M.D.
Phone: 504-269-9090