Provider Demographics
NPI:1013018548
Name:CAZAYOUX, ROBERT VINCENT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:VINCENT
Last Name:CAZAYOUX
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:852 BELANGER ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4408
Mailing Address - Country:US
Mailing Address - Phone:985-851-6800
Mailing Address - Fax:985-868-5383
Practice Address - Street 1:852 BELANGER ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4408
Practice Address - Country:US
Practice Address - Phone:985-851-6800
Practice Address - Fax:985-868-5383
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10799R174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA10799ROtherSTATE MEDICAL LICENSE #
LA1490598Medicaid
LA5Y404Medicare ID - Type Unspecified
LA10799ROtherSTATE MEDICAL LICENSE #