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NPI Code Detail

MEDICARE: TOMAS BIRRIEL-SALCEDO M.D.

MEDICARE:   TOMAS  BIRRIEL-SALCEDO  M.D.
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 Physician014614LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117-00034OTHERLAUNITED HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962482166
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMAS BIRRIEL-SALCEDO M.D.
Provider Business Mailing Address
First Line : PO BOX 3433
Second Line :
City : MORGAN CITY
State : LA
Zip : 70381-3433
Country : US
Telephone Number : 985-384-7173
Fax Number : 985-384-7057
Provider Business Practice Location Address
First Line : 1151 MARGUERITE ST
Second Line : SUITE 100
City : MORGAN CITY
State : LA
Zip : 70380-1850
Country : US
Telephone Number : 985-384-7173
Fax Number : 985-384-7057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 04/02/2008

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Directions to “ TOMAS BIRRIEL-SALCEDO M.D.” Practice Location

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