W Trent Massengale, Md Llc
Dermatology Physician in Prairieville, LA(View on Map)
Legal Business Name
W Trent Massengale, Md Llc
NPI Number
1255774287
NPI Type
Organization
Enumeration Date
04/09/2013
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
17503 OLD JEFFERSON HWY
17503 OLD JEFFERSON HWY
City
Prairieville
Prairieville
State
LA
LA
Postal Code
70769-3930
70769-3930
Country
US
US
Telephone Number
(225) 313-4560
(225) 313-4560
Authorized Official
Name
William Massengale
Title or Position
DERMATOLOGIST
Telephone Number
(225) 769-7546
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2024