Basic Information
| Provider Information | |||||||||
| NPI: | 1225026529 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAYES | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | MARK | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 159 LONGVIEW DR | ||||||||
| Address2: | STE C | ||||||||
| City: | DESTREHAN | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700475076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252371754 | ||||||||
| FaxNumber: | 2252371722 | ||||||||
| Practice Location | |||||||||
| Address1: | 17520 OLD JEFFERSON HWY | ||||||||
| Address2: | STE B | ||||||||
| City: | PRAIRIEVILLE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 707693929 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2256738983 | ||||||||
| FaxNumber: | 2256778983 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2005 | ||||||||
| LastUpdateDate: | 02/20/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 019375 | LA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1953181 | 05 | LA | MEDICAID |