MEDICARE: ROBERT FAUCHEUX 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
1	208000000X	Pediatrics Physician	23079	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1932103561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT FAUCHEUX MD

Provider Business Mailing Address
First Line	:	1520 HIGHWAY 22 W
Second Line	:
City	:	MADISONVILLE
State	:	LA
Zip	:	70447-9441
Country	:	US
Telephone Number	:	985-773-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 HIGHWAY 22 W
Second Line	:
City	:	MADISONVILLE
State	:	LA
Zip	:	70447-9441
Country	:	US
Telephone Number	:	985-773-1600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	06/05/2019

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Directions to “ ROBERT FAUCHEUX MD” Practice Location

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