Provider Demographics
NPI:1245509397
Name:DEMOUY, THERESE LANDRY (MD)
Entity type:Individual
Prefix:DR
First Name:THERESE
Middle Name:LANDRY
Last Name:DEMOUY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:13717 EARLS CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-3587
Mailing Address - Country:US
Mailing Address - Phone:225-751-7709
Mailing Address - Fax:225-751-7891
Practice Address - Street 1:13717 EARLS CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-3587
Practice Address - Country:US
Practice Address - Phone:225-751-7709
Practice Address - Fax:225-751-7891
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAR018247207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology