1699636571 NPI number — BAYOU DERMATOLOGY LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699636571 NPI number — BAYOU DERMATOLOGY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAYOU DERMATOLOGY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699636571
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
911 TECH DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RUSTON
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71270-0701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-265-6376
Provider Business Mailing Address Fax Number:
318-265-6377

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
911 TECH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RUSTON
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71270-0701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-265-6376
Provider Business Practice Location Address Fax Number:
318-265-6377
Provider Enumeration Date:
11/20/2025

Additional Information

Authorized Official

Authorized Official Last Name:
MANDRELL
Authorized Official First Name:
JOSHUA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MD
Authorized Official Telephone Number:
318-265-6376

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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