Provider Demographics
NPI:1568492536
Name:PHILIP S. PERRET, M.D., APMC
Entity Type:Organization
Organization Name:PHILIP S. PERRET, M.D., APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:S
Authorized Official - Last Name:PERRET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-232-6435
Mailing Address - Street 1:614 W SAINT MARY BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3538
Mailing Address - Country:US
Mailing Address - Phone:337-232-6435
Mailing Address - Fax:337-232-0152
Practice Address - Street 1:614 W SAINT MARY BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3538
Practice Address - Country:US
Practice Address - Phone:337-232-6435
Practice Address - Fax:337-232-0152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4507R207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1197301Medicaid
LA13616OtherBLUE CROSS PROVIDER #
LA54621Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
LA1197301Medicaid