Healthcare Provider Details

I. General information

NPI: 1598638793
Provider Name (Legal Business Name): CALEB DUGAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 READ BLVD
NEW ORLEANS LA
70127-3106
US

IV. Provider business mailing address

6730 ROUGON RD
PORT ALLEN LA
70767-5248
US

V. Phone/Fax

Practice location:
  • Phone: 504-592-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number12176
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: