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NPI Code Detail

MEDICARE: JACK E. SAUX III MD

MEDICARE: JACK E. SAUX III 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
1207RH0003XHematology & Oncology Physician09352RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528023843
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACK E. SAUX III MD
Provider Business Mailing Address
First Line : PO BOX 54482
Second Line : ATTN: NICOLE GOODWIN
City : NEW ORLEANS
State : LA
Zip : 70154-4482
Country : US
Telephone Number : 985-898-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1203 S TYLER ST STE 230
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2353
Country : US
Telephone Number : 985-892-9090
Fax Number : 985-892-9957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/15/2019

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