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NPI Code Detail

MEDICARE: DR. CHAUNCEY KEANO LABOO MD

MEDICARE: DR. CHAUNCEY KEANO LABOO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramMS

General Provider Information

NPI Number : 1356289615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAUNCEY KEANO LABOO MD
Provider Business Mailing Address
First Line : 3127 RIGHT WAY
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3369
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1220 JEFFERSON ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-4355
Country : US
Telephone Number : 601-426-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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