Guidroz, Kristal Bourgeois
Guidroz, Kristal Bourgeois is an individual health care provider with primary practice located at 327 Bayou Gardens Blvd , Houma LA 70364-1434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Guidroz, Kristal Bourgeois can be contacted via phone (985) 876-5000.Contact Information
Primary practice address
327 Bayou Gardens Blvd
Houma LA 70364-1434
Phone: (985) 876-5000
Fax: (985) 876-5280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 202515 | Louisiana |
Profile Details
| NPI number | 1053595702 |
|---|---|
| LBN Legal business name | Guidroz, Kristal Bourgeois |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Apr 19th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053595702 | NPPES |
| Louisiana | MEDICAID | 1002330 |
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