=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891404141
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MY DOCTORS HOUSE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2022
-----------------------------------------------------
Last Update Date | 12/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6002 PERKINS RD STE C2
-----------------------------------------------------
City | BATON ROUGE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70808-4284
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-449-9606
-----------------------------------------------------
Fax | 225-217-3437
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9655 PERKINS RD STE C-260
-----------------------------------------------------
City | BATON ROUGE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70810-1533
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-449-9606
-----------------------------------------------------
Fax | 225-217-3437
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PAULETTE LUCILLE GREY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 410-963-9852
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------