Beaudry, Dominique J.
Beaudry, Dominique J. is an individual health care provider with primary practice located at 1541 Kings Hwy , Shreveport LA 71103-4228. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Beaudry, Dominique J. can be contacted via phone (318) 626-0000.Contact Information
Primary practice address
1541 Kings Hwy
Shreveport LA 71103-4228
Phone: (318) 626-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 312596 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 312596 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M9151 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | M9151 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 312596 | Louisiana |
Profile Details
| NPI number | 1437339223 |
|---|---|
| LBN Legal business name | Beaudry, Dominique J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Aug 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437339223 | NPPES |
| Texas | MEDICAID | 197375206 | |
| Texas | MEDICAID | 197375201 | |
| Texas | MEDICAID | 197375205 | |
| Texas | Other | 197375207 |
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