Provider Demographics
NPI:1245238021
Name:CAILLET, FRANK C (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:C
Last Name:CAILLET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:C
Other - Last Name:CAILLET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4650 AMB CAFFERY PKWY
Mailing Address - Street 2:STE 101
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6926
Mailing Address - Country:US
Mailing Address - Phone:337-981-3363
Mailing Address - Fax:337-981-3364
Practice Address - Street 1:4650 AMB CAFFERY PKWY
Practice Address - Street 2:STE 101
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6926
Practice Address - Country:US
Practice Address - Phone:337-981-3363
Practice Address - Fax:337-981-3364
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023036207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1493945Medicaid
LA1493945Medicaid
LA5CH91Medicare PIN