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NPI Code Detail

MEDICARE: IRENE S. CAILLOUET MD

MEDICARE: IRENE S. CAILLOUET 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
1208600000XSurgery Physician206165LA

General Provider Information

NPI Number : 1740440585
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE S. CAILLOUET MD
Provider Business Mailing Address
First Line : PO BOX 669379
Second Line :
City : DALLAS
State : TX
Zip : 75266-9379
Country : US
Telephone Number : 985-892-3766
Fax Number : 985-893-9567
Provider Business Practice Location Address
First Line : 728 W 11TH AVE
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2318
Country : US
Telephone Number : 985-892-3766
Fax Number : 985-893-9567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2008
Last Update Date : 03/03/2026

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Directions to “ IRENE S. CAILLOUET MD” Practice Location

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