Provider Demographics
NPI:1225026529
Name:SAYES, ROBERT MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MARK
Last Name:SAYES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:159 LONGVIEW DR
Mailing Address - Street 2:STE C
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-5076
Mailing Address - Country:US
Mailing Address - Phone:225-237-1754
Mailing Address - Fax:225-237-1722
Practice Address - Street 1:17520 OLD JEFFERSON HWY
Practice Address - Street 2:STE B
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3929
Practice Address - Country:US
Practice Address - Phone:225-673-8983
Practice Address - Fax:225-677-8983
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2017-02-20
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Provider Licenses
StateLicense IDTaxonomies
LA019375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1953181Medicaid
LA1953181Medicaid