Healthcare Provider Details

I. General information

NPI: 1851396345
Provider Name (Legal Business Name): FRANCISCO J CANDAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 09/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 GAUSE BLVD. EAST
SLIDELL LA
70461
US

IV. Provider business mailing address

2240 GAUSE BLVD. EAST
SLIDELL LA
70461
US

V. Phone/Fax

Practice location:
  • Phone: 985-718-4333
  • Fax: 985-267-0310
Mailing address:
  • Phone: 985-718-4333
  • Fax: 985-267-0310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD05598R
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number05598R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: