Provider Demographics
NPI:1386002160
Name:FRANCISCO J. CANDAL, M.D., A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:FRANCISCO J. CANDAL, M.D., A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CANDAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-605-6925
Mailing Address - Street 1:2240 GAUSE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-4231
Mailing Address - Country:US
Mailing Address - Phone:985-605-6925
Mailing Address - Fax:985-267-0310
Practice Address - Street 1:2240 GAUSE BLVD E
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-4231
Practice Address - Country:US
Practice Address - Phone:985-609-6925
Practice Address - Fax:985-267-0310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05598R207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty