NPI 1629286075

Brandon Keith Hider, MD

Practitioner Family Medicine Physician Luling, LA

Practice location

Address: 12895 Highway 90 Suite H, Luling, LA 70070-2249
Phone: (985) 331-9400
Fax: (985) 331-9401

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD.204623 (LA)

Other Family Medicine providers in Louisiana →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence PGY.2-LSUNO (LA)

Registry record

NPI: 1629286075
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2007
Record last updated: 11 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.