Provider Demographics
NPI:1093849515
Name:GASPARD, FLOYD ANTHONY JR (RN)
Entity Type:Individual
Prefix:MR
First Name:FLOYD
Middle Name:ANTHONY
Last Name:GASPARD
Suffix:JR
Gender:M
Credentials:RN
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Other - Credentials:
Mailing Address - Street 1:PO BOX 122425
Mailing Address - Street 2:DEPT 2425
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75312-2425
Mailing Address - Country:US
Mailing Address - Phone:337-494-3100
Mailing Address - Fax:337-494-3101
Practice Address - Street 1:2770 3RD AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601
Practice Address - Country:US
Practice Address - Phone:337-494-3100
Practice Address - Fax:337-494-3101
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2016-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LARN081384163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
LARN081384OtherSTATE LICENSE #