Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayou Dermatology LLC

Organization Dermatology Physician · NPI 1699636571

Bayou Dermatology LLC is a Dermatology Physician in Ruston, Louisiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

911 Tech Dr
Ruston, LA 71270-0701
Phone: (318) 265-6376
Fax: (318) 265-6377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1699636571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Mandrell — Owner/Md · (318) 265-6376
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address911 Tech Dr, Ruston, LA 71270-0701

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