Briscoe, Thomas L

Briscoe, Thomas L is an individual health care provider with primary practice located at 1245 S College Rd Bldg 5 , Lafayette LA 70503-2917. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Briscoe, Thomas L can be contacted via phone (337) 235-6886.

Contact Information

Primary practice address
1245 S College Rd Bldg 5 Lafayette LA 70503-2917
Phone: (337) 235-6886
Fax: (337) 235-6892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PST.015227 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X A10327 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X A10327.RX Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X A10327 Louisiana

Profile Details

NPI number 1992796189
LBN Legal business name Briscoe, Thomas L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 10th, 2019 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992796189 NPPES
Louisiana MEDICAID 1351016

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