Haissam N Bouz, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

013498 Issued in LA

Practice address

3311 Prescott Rd
Suite 314
Alexandria, LA 71301-3900

Phone

(318) 448-8517

Fax

(318) 448-8008

NPI assigned

Dec 19, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366428617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "SUITE 314",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-448-8517",
            "fax_number": "318-448-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "SUITE 314",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-448-8517",
            "fax_number": "318-448-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUZ",
        "first_name": "HAISSAM",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "013498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174661",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Q. Borrero, M.D.
• Kalena Bostian
• Anthony David Boudreaux, CRNA
• Kevin Boudreaux, LPC
• Tanner Boudreaux
• Kristopher Djon Bowens
• Gordon Sewell Bowers Jr., MD
• Phalnesha L Bowie, LPN
• Victoria Bowie
• John H Bowling

• Specialist in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.