Organization · Type 2 NPI
Roland S. Waguespack MD Apmc
Primary Care Clinic/Center · Vacherie, LA
NPI number
1801959929
Active
Practice location
1108 Saint James St
Vacherie, LA 70090-5320
Fax (225) 265-4006
Mailing address
1108 Saint James Street
Vacherie, LA 70090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 23919 (LA) |
| Primary Care Clinic/Center Primary | 261QP2300X | 009974 (LA) |
| Primary Care Clinic/Center | 261QP2300X | 203080 (LA) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Vacherie
About NPI 1801959929
Roland S. Waguespack MD Apmc's National Provider Identifier is 1801959929, issued on Dec 19, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Vacherie, LA. The record was last updated on Jan 19, 2010.